Organization
DENVER RECOVERY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA CHAVEZ (BILLING MANAGER)
(575) 993-5225
Entity
Organization
Contact information
Practice address
11658 HURON ST, NORTHGLENN, CO 80234-2919
(303) 953-2299
(303) 953-8830
Mailing address
2822 E COLFAX AVE, DENVER, CO 80206-1507
(303) 953-2299
(303) 953-8830
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1776-06
SUD LICENSE
CO
01
—
290
LICENSE
CO
Enumeration date
10/05/2021
Last updated
10/05/2021
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