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General NPI Number Information
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NPI Number | 1457277121
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Entity Type | Organization
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Legal Business Name | COMPLETE RECOVERY SYSTEMS
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 2723 N NEVADA AVE
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-6220
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Country | US
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Telephone | 719-714-5451
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Fax |
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Provider Business Mailing Address
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Address Line | 2723 N NEVADA AVE
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-6220
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Country | US
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Telephone | 719-714-5451
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | ANGELLETTA HIXON
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Credential | PRC, QBHA
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Telephone | 719-922-6691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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