Organization
DENVER RECOVERY GROUP LLC
Active
Parent organization
DENVER RECOVERY GROUP LLC
Other names
DENVER RECOVERY GROUP - WEST
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENVER RECOVERY GROUP LLC
Authorized official
KARLA CHAVEZ (BILLING MANAGER)
(575) 993-5225
Entity
Organization
Contact information
Practice address
5330 MANHATTAN CIR STE H, BOULDER, CO 80303-4240
(720) 536-5571
Mailing address
5330 MANHATTAN CIR STE H, BOULDER, CO 80303-4240
(720) 536-5571
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000141712
—
CO
Enumeration date
08/19/2019
Last updated
04/21/2020
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