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General NPI Number Information
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NPI Number | 1003779943
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Entity Type | Organization
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Legal Business Name | RED ROCK RECOVERY CENTERS LLC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 6204 W 18TH AVE
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City | LAKEWOOD
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State | CO
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Zip | 80214-1410
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Country | US
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Telephone | 888-719-1097
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Fax | 303-379-5888
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Provider Business Mailing Address
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Address Line | PO BOX 261029
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City | LAKEWOOD
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State | CO
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Zip | 80226-9029
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Country | US
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Telephone | 888-719-1097
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Fax | 303-379-5888
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Authorized Official
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Title or Position | CAO
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Name | SHAWN HENLEY
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Credential |
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Telephone | 888-719-1097
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 276400000X
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Taxonomy Name | Substance Use Disorder Rehabilitation Hospital Unit
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License Number |
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License Number State |
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