NPI 1073076501
Jade Recovery INC
Practice location
- Address
- 255 S Routt St STE 265, Lakewood, CO 80228-2271
- Phone
- (833) 523-3669
Authorised official
- Name
- David Forstadt
- Title
- Ceo
- Phone
- (716) 908-3066
Registered specialties (4)
Substance Abuse Rehabilitation Facility
Primary
Mental Health Clinic/Center (Including Community Mental Health Center)
Substance Use Disorder Rehabilitation Clinic/Center
Children's Substance Abuse Rehabilitation Facility
Registry record
- NPI
- 1073076501
- Entity type
- Organization
- NPI issued
- 11 Apr 2019
- Record last updated
- 23 Apr 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.