# EDELEN ENTERPRISES, INC. D/B/A RECOVERY 360

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Edelen Enterprises, Inc. d/b/a Blue Pine Recovery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821319112
- **Authorized official:** MS. RONNY M. DE CARLO LMFT, LAC, LPC (PRESIDENT/EXECUTIVE DIRECTOR)
- **Authorized official phone:** (720) 854-5959

## Contact information

- **Practice address:** 7350 E. PROGRESS PLACE, SUITE 100, GREENWOOD VILLAGE, CO 80111-2130
- **Practice address phone:** (720) 854-5959
- **Mailing address:** 7350 E. PROGRESS PLACE, SUITE 100, GREENWOOD VILLAGE, CO 80111-2130
- **Mailing address phone:** (720) 854-5959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 06/21/2010
- **Last updated:** 02/03/2020