Organization
BASECAMP RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATE WILSON (OWNER)
(719) 640-0668
Entity
Organization
Contact information
Practice address
225 E CHEYENNE MOUNTAIN BLVD STE 205, COLORADO SPRINGS, CO 80906-3700
(719) 694-9739
Mailing address
225 E CHEYENNE MOUNTAIN BLVD STE 205, COLORADO SPRINGS, CO 80906-3700
(719) 694-9739
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
02/14/2025
Last updated
03/05/2025
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