Organization
SEVEN LAKES RECOVERY PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH ASH M.D. (MEDICAL DIRECTOR)
(970) 495-4684
Entity
Organization
Contact information
Practice address
128 N. 6TH ST., UNIT D, WINDSOR, CO 80550
(970) 495-4684
(970) 674-3309
Mailing address
128 N. 6TH ST., UNIT D, WINDSOR, CO 80550
(970) 495-4684
(970) 674-3309
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1179-00
CO
Other
Enumeration date
01/04/2007
Last updated
08/22/2020
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