Organization
SOULFUL RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT SCHAEFER (EXECUTIVE DIRECTOR)
(908) 510-8138
Entity
Organization
Contact information
Practice address
951 20TH ST, DENVER, CO 80201-5200
(908) 510-8138
Mailing address
951 20TH ST, P.O. BOX #2149, DENVER, CO 80201-2149
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
02/02/2026
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