Healthcare Provider Details

I. General information

NPI: 1396607859
Provider Name (Legal Business Name): CHERRY HILLS RECOVERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

949 E KENYON AVENUE
CHERRY HILLS VILLAGE CO
80113
US

IV. Provider business mailing address

3685 S DOWNING ST
ENGLEWOOD CO
80113-7510
US

V. Phone/Fax

Practice location:
  • Phone: 720-505-1762
  • Fax:
Mailing address:
  • Phone: 720-505-1762
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: STEVEN MILLETTE
Title or Position: CEO
Credential:
Phone: 720-505-1762