NPI 1629519715

Life Recovery Center

Organisation Preferred Provider Organization Northglenn, CO

Practice location

Address: 11658 Huron St Suite 400, Northglenn, CO 80234-2919
Phone: (303) 252-4179
Mailing address: 9028 Gale Blvd Unit 1, Thornton, CO 80260-4939

Authorised official

Name: Alex Castro
Title: Clinical Director
Phone: (303) 525-4179

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1629519715
Entity type: Organization
NPI issued: 9 Mar 2017
Record last updated: 21 Jul 2022

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.