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General NPI Number Information
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NPI Number | 1861232803
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Entity Type | Organization
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Legal Business Name | PEAKS RECOVERY CENTERS LLC
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Dates
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Enumeration Date | 05/28/2024
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Last Update Date | 06/13/2024
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Provider Practice Location Address
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Address Line | 7200 E HAMPDEN AVE STE 300
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City | DENVER
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State | CO
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Zip | 80224-3021
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Country | US
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Telephone | 719-528-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 6430 BROOK PARK DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-1432
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Country | US
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Telephone | 719-528-3500
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | BRANDON J BURNS
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Credential |
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Telephone | 719-648-1997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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