Organization
COMMUNITY RECOVERY COLORADO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN WALLACE (CEO)
(818) 651-4594
Entity
Organization
Contact information
Practice address
2500 ARAPAHOE ST, DENVER, CO 80205-2616
(818) 651-4594
Mailing address
22287 MULHOLLAND HWY, #136, CALABASAS, CA 91302-5157
(818) 651-4954
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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