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Organization

ANTELOPE RECOVERY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHELBY ROBBINS (FOUNDER)
(303) 476-1488
Entity
Organization

Contact information

Practice address
1035 PEARL STREET, SUITE 313, BOULDER, CO 80302
(303) 476-1488
Mailing address
1035 PEARL ST STE 313, BOULDER, CO 80302-5130
(303) 476-1488

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
103TC0700X
Clinical Psychologist
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
03/21/2023
Last updated
03/21/2023
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