Organization
E DAWN MARTIN CACIII LLC
Active
Other names
Recovery Unlimited
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH DAWN MARTIN CACIII (OWNER/OPERATOR)
(719) 358-7338
Entity
Organization
Contact information
Practice address
140 S PARKSIDE DR, COLORADO SPRINGS, CO 80910-3129
(719) 358-7338
Mailing address
140 S PARKSIDE DR, COLORADO SPRINGS, CO 80910-3129
(719) 358-7338
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033404850
INDIVIDUAL
CO
Enumeration date
04/25/2013
Last updated
09/14/2022
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