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General NPI Number Information
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NPI Number | 1922915404
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Entity Type | Organization
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Legal Business Name | GROUND UP RECOVERY, LLC
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 7020 MEDICINE BOW AVE
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City | FOUNTAIN
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State | CO
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Zip | 80817-1318
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Country | US
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Telephone | 719-642-6422
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Fax |
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Provider Business Mailing Address
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Address Line | 7020 MEDICINE BOW AVE
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City | FOUNTAIN
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State | CO
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Zip | 80817-1318
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Country | US
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Telephone | 719-642-6422
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MANDY WASHINGTON
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Credential |
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Telephone | 719-306-7766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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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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