Healthcare Provider Details

I. General information

NPI: 1568327161
Provider Name (Legal Business Name): FLATIRONS RECOVERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12136 W BAYAUD AVE STE 360
LAKEWOOD CO
80228-2120
US

IV. Provider business mailing address

12136 W BAYAUD AVE STE 360
LAKEWOOD CO
80228-2120
US

V. Phone/Fax

Practice location:
  • Phone: 612-267-3085
  • Fax:
Mailing address:
  • Phone: 612-267-3085
  • Fax:

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: MARK JAMES OBERG
Title or Position: CEO/EXECUTIVE DIRECTOR
Credential: LPC, LAC
Phone: 612-267-3085