Healthcare Provider Details

I. General information

NPI: 1801582093
Provider Name (Legal Business Name): DENVER RECOVERY GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2023
Last Update Date: 04/12/2023
Certification Date: 04/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 W 13TH AVE
DENVER CO
80204-2407
US

IV. Provider business mailing address

1801 W 13TH AVE
DENVER CO
80204-2407
US

V. Phone/Fax

Practice location:
  • Phone: 720-616-0049
  • Fax: 303-955-8830
Mailing address:
  • Phone: 720-616-0049
  • Fax: 303-955-8830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: KARLA CHAVEZ
Title or Position: BILLING MANAGER
Credential:
Phone: 575-993-5225