Healthcare Provider Details

I. General information

NPI: 1114837135
Provider Name (Legal Business Name): KALEIDOSCOPE RECOVERY & PEER CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4485 WADSWORTH BLVD STE 110
WHEAT RIDGE CO
80033-3309
US

IV. Provider business mailing address

4485 WADSWORTH BLVD STE 110
WHEAT RIDGE CO
80033-3309
US

V. Phone/Fax

Practice location:
  • Phone: 303-483-5646
  • Fax: 303-800-9789
Mailing address:
  • Phone: 303-483-5646
  • Fax: 303-800-6789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LAURIE ANTONIA PERLMAN
Title or Position: CEO
Credential:
Phone: 303-483-5646