Organization
COMMUNITY COUNSELING AND CONSULTING SERVICES
Active
Other names
Life Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE ALEJANDRO CASTRO LPC, LAC (PRESIDENT)
(303) 667-3154
Entity
Organization
Contact information
Practice address
2425 S COLORADO BLVD STE 150, DENVER, CO 80222-5943
(720) 398-9280
(720) 440-9638
Mailing address
10699 MELODY DR STE 2, NORTHGLENN, CO 80234-4131
(303) 252-4179
(303) 252-4186
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528-05
DEPT. OF HUMAN SERVICES OFFICE OF BEHAVIORAL HEALTH
CO
05
—
9000181296
—
CO
Enumeration date
03/04/2020
Last updated
12/23/2021
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