NPI 1104742469

Recovery Village at Palmer Lake, LLC

Organisation Mental Illness Community Based Residential Treatment Facility Colorado Springs, CO

Practice location

Address: 6189 Lehman Dr STE 102, Colorado Springs, CO 80918-5409
Phone: (754) 300-3120
Fax: (888) 919-4431
Mailing address: 2200 N Commerce Pkwy STE 200, Weston, FL 33326-3258

Authorised official

Name: Belina Surujon
Title: Vp Contracting & Licensing
Phone: (754) 300-3120

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Colorado →

Registry record

NPI: 1104742469
Entity type: Organization
NPI issued: 29 Jun 2026
Record last updated: 29 Jun 2026

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.