Healthcare Provider Details

I. General information

NPI: 1891600649
Provider Name (Legal Business Name): ASPENRIDGE RECOVERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 RAMPART WAY STE 200
DENVER CO
80230-6455
US

IV. Provider business mailing address

130 RAMPART WAY STE 200
DENVER CO
80230-6455
US

V. Phone/Fax

Practice location:
  • Phone: 720-330-3632
  • Fax: 720-541-5599
Mailing address:
  • Phone: 720-330-3632
  • Fax: 720-541-5599

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: MICHAEL DAMIOLI
Title or Position: CCO
Credential:
Phone: 330-506-1145