Healthcare Provider Details

I. General information

NPI: 1245188564
Provider Name (Legal Business Name): THE PROGRAM RECOVERY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2026
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8380 ZUNI ST
DENVER CO
80221-4778
US

IV. Provider business mailing address

8380 ZUNI ST
DENVER CO
80221-4778
US

V. Phone/Fax

Practice location:
  • Phone: 720-388-5800
  • Fax: 303-426-4429
Mailing address:
  • Phone: 720-388-5800
  • Fax: 303-426-4429

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: DANNYRAY GONZALES
Title or Position: OWNER
Credential:
Phone: 720-388-5800