Healthcare Provider Details

I. General information

NPI: 1134023161
Provider Name (Legal Business Name): RISE RECOVERY THROUGH HOPE AND EDUCATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53199 BASGAL RD
BOONE CO
81025-9743
US

IV. Provider business mailing address

53199 BASGAL RD
BOONE CO
81025-9743
US

V. Phone/Fax

Practice location:
  • Phone: 719-504-2507
  • Fax:
Mailing address:
  • Phone: 719-504-2507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: LAURA MAE DOWNS
Title or Position: OWNER/MANAGING MEMBER
Credential: MSW, LAC
Phone: 719-504-2507