Healthcare Provider Details
I. General information
NPI: 1275029902
Provider Name (Legal Business Name): PEAKS RECOVERY CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/05/2018
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6430 BROOK PARK DR
COLORADO SPRINGS CO
80918-1432
US
IV. Provider business mailing address
6547 N ACADEMY BLVD # 302
COLORADO SPRINGS CO
80918-8342
US
V. Phone/Fax
- Phone: 719-528-3500
- Fax: 844-917-2805
- Phone: 719-528-3500
- Fax: 844-917-2805
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 324500000X |
| Taxonomy | Substance Abuse Rehabilitation Facility |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QR0405X |
| Taxonomy | Substance Use Disorder Rehabilitation Clinic/Center |
| License Number | 1760-01 |
| License Number State | CO |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 323P00000X |
| Taxonomy | Psychiatric Residential Treatment Facility |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | 1760-01 |
| License Number State | CO |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 320800000X |
| Taxonomy | Mental Illness Community Based Residential Treatment Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHRISTOPHER
MICHAEL
BURNS
Title or Position: CEO
Credential:
Phone: 719-528-3500