Organization
ROCK BOTTOM RECOVERY PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOLORES J WALKER MA (CEO, DIR. CLINICAL SERVICES)
(719) 382-5778
Entity
Organization
Contact information
Practice address
6910 BANDLEY DR, SUITE 135, FOUNTAIN, CO 80817-2617
(719) 382-5778
(719) 390-8239
Mailing address
6910 BANDLEY DR, SUITE 135, FOUNTAIN, CO 80817-2617
(719) 382-5778
(719) 390-8239
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
160701
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4306
LICENSED PROFESSIONAL COUNSELOR
CO
01
—
507105
NAADAC MASTER ADDICTION COUNSELOR
CO
Enumeration date
06/09/2011
Last updated
06/09/2011
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