Healthcare Provider Details

I. General information

NPI: 1801769070
Provider Name (Legal Business Name): TRIBE RECOVERY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2025
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 W 12TH AVE
DENVER CO
80204-3504
US

IV. Provider business mailing address

1178 MARIPOSA ST
DENVER CO
80204-3507
US

V. Phone/Fax

Practice location:
  • Phone: 303-263-8445
  • Fax:
Mailing address:
  • Phone: 303-263-8445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: THOMAS HERNANDEZ
Title or Position: OWNER
Credential:
Phone: 303-263-8445