Whalio Doctors

NPI 1073076501

Jade Recovery INC

Organisation Substance Abuse Rehabilitation Facility Lakewood, CO

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
Residential Treatment Facilities Taxonomy 324500000X
Mental Health Clinic/Center (Including Community Mental Health Center)
Ambulatory Health Care Facilities Taxonomy 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QR0405X
Children's Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 3245S0500X

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.