Organization
EDELEN ENTERPRISES, INC. D/B/A RECOVERY 360
Active
Other names
Edelen Enterprises, Inc. d/b/a Blue Pine Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RONNY M. DE CARLO LMFT, LAC, LPC (PRESIDENT/EXECUTIVE DIRECTOR)
(720) 854-5959
Entity
Organization
Contact information
Practice address
7350 E. PROGRESS PLACE, SUITE 100, GREENWOOD VILLAGE, CO 80111-2130
(720) 854-5959
Mailing address
7350 E. PROGRESS PLACE, SUITE 100, GREENWOOD VILLAGE, CO 80111-2130
(720) 854-5959
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/21/2010
Last updated
02/03/2020
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