NPI | 1891245601 |
---|---|
Doing Business As | LIFE RECOVERY CENTER |
Entity Type | Organization |
Authorized Contact | JOSE ALEJANDRO CASTRO President 303-252-4179 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: CO 1528-04) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2016-10-05 |
Last Update Date | 2021-12-23 |