Organization
COLORADO FAMILY CLINIC & PROFESSIONAL RECOVERY INC
Active
Parent organization
COLORADO FAMILY CLINIC & PROFESSIONAL RECOVERY
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLORADO FAMILY CLINIC & PROFESSIONAL RECOVERY
Authorized official
HECTOR LOPEZ FRISBIE (OWNER)
(720) 899-3798
Entity
Organization
Contact information
Practice address
4990 KIPLING ST STE B5, WHEAT RIDGE, CO 80033-6762
(303) 456-4882
Mailing address
4990 KIPLING ST STE B5, WHEAT RIDGE, CO 80033-6762
(303) 456-4882
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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