Organization
HEALING PINES RECOVERY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN TUCKER (COO)
(208) 680-5663
Entity
Organization
Contact information
Practice address
5550 COUNTY ROAD 124, ELIZABETH, CO 80107
(949) 304-0040
Mailing address
PO BOX 1950, ELIZABETH, CO 80107-1950
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/06/2019
Last updated
06/06/2024
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