NPI 1003462623

Realize Recovery LLC

Organisation Substance Use Disorder Rehabilitation Clinic/Center Boulder, CO

Practice location

Address: 3775 Iris Ave STE 6, Boulder, CO 80301-2043
Phone: (512) 644-8598

Authorised official

Name: Quddus Fujita Maus
Title: Owner
Phone: (512) 644-8598

Registered specialties

Substance Use Disorder Rehabilitation Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QR0405X

Other Clinic/Center providers in Colorado →

Registry record

NPI: 1003462623
Entity type: Organization
NPI issued: 11 Aug 2019
Record last updated: 11 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.