Organization
COMMUNITY COUNSELING AND CONSULTING SERVICES
Active
Other names
Life Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE ALEJANDRO CASTRO (PRESIDENT)
(303) 252-4179
Entity
Organization
Contact information
Practice address
10699 MELODY DR STE 2, NORTHGLENN, CO 80234-4131
(303) 252-4179
(303) 252-4186
Mailing address
10699 MELODY DR STE 2, NORTHGLENN, CO 80234-4131
(303) 252-4179
(303) 252-4186
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
1528-04
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000170313
—
CO
Enumeration date
10/05/2016
Last updated
12/23/2021
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