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NPI Code Detail

MEDICARE: PLANTED RECOVERY INC

MEDICARE: PLANTED RECOVERY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1588289193
Entity Type Code : Organization
Provider Name (Legal Business Name) : PLANTED RECOVERY INC
Provider Business Mailing Address
First Line : 801 W MINERAL AVE STE 201
Second Line :
City : LITTLETON
State : CO
Zip : 80120-5663
Country : US
Telephone Number : 303-929-7822
Fax Number : 888-518-3457
Provider Business Practice Location Address
First Line : 801 W MINERAL AVE STE 201
Second Line :
City : LITTLETON
State : CO
Zip : 80120-5663
Country : US
Telephone Number : 303-929-7822
Fax Number : 888-518-3457
Authorized Official
Title or Position : COO
Name : AGNES POWELL
Credential :
Telephone Number : 303-929-7822
Provider Enumeration Date : 06/09/2020
Last Update Date : 06/09/2020

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Directions to “PLANTED RECOVERY INC ” Practice Location

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