Organization
GOLDEN PEAK RECOVERY
Active
Other names
Golden Peak Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT NIZNIK (CEO)
(855) 694-8619
Entity
Organization
Contact information
Practice address
4411 E KENTUCKY AVE, GLENDALE, CO 80246-2009
(855) 694-8619
(305) 930-7437
Mailing address
1515 NW 167TH ST STE 300, MIAMI GARDENS, FL 33169-5106
(786) 923-3376
(786) 930-7437
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2080-01
COLORADO DEPARTMENT OF HUMAN SERVICES
CO
Enumeration date
09/17/2018
Last updated
05/29/2020
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