Organization
COLORADO RELATIONSHIP RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON POLK LCSW, LAC (THERAPIST)
(720) 272-9573
Entity
Organization
Contact information
Practice address
1777 S BELLAIRE ST STE 165, DENVER, CO 80222-4310
(303) 217-2658
Mailing address
6541 S TABOR ST, LITTLETON, CO 80127-4854
(720) 272-9573
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
ACD.0000426
CO
251S00000X
Community/Behavioral Health Agency
Primary
CSW.09923905
CO
Other
Enumeration date
04/10/2015
Last updated
11/12/2024
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