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Organization

RECOVERY VILLAGE AT PALMER LAKE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BELINA SURUJON (LICENSING & CONTRACTING DIRECTOR)
(754) 300-3120
Entity
Organization

Contact information

Practice address
443 HIGHWAY 105, PALMER LAKE, CO 80133-9003
(719) 481-1800
Mailing address
2200 N COMMERCE PKWY STE 200, WESTON, FL 33326-3258
(754) 300-3120
(888) 919-4431

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
04/20/2015
Last updated
05/11/2026
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