Organization
ACQUA RECOVERY COLORADO
Active
Parent organization
ACQUA RECOVERY COLORADO
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACQUA RECOVERY COLORADO
Authorized official
SCOTT LISTER RN (COO)
(970) 987-2583
Entity
Organization
Contact information
Practice address
5353 MANHATTAN CIR STE 101, BOULDER, CO 80303-4200
(303) 736-2536
Mailing address
PO BOX 982437, PARK CITY, UT 84098-2437
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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