| NPI | 1518592146 |
|---|---|
| Doing Business As | LIFE RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | JOSE ALEJANDRO CASTRO President 303-667-3154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2021-12-23 |