Organization
COLORADO RECOVERT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD WARNER M.D. (CEO)
(303) 440-5140
Entity
Organization
Contact information
Practice address
2818 13TH ST., BOULDER, CO 80304
(303) 440-5140
Mailing address
2818 13TH ST., BOULDER, CO 80304
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
.00876219
CO
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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