MEDICARE: NAS RECOVERY SOLUTIONS

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
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1861199846
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NAS RECOVERY SOLUTIONS

Provider Business Mailing Address
First Line	:	12650 W 64TH AVE # E175
Second Line	:
City	:	ARVADA
State	:	CO
Zip	:	80004-3893
Country	:	US
Telephone Number	:	720-939-3535
Fax Number	:

Provider Business Practice Location Address
First Line	:	220 S YARROW ST
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80226-1528
Country	:	US
Telephone Number	:	720-939-3535
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER AND CEO
Name	:	CAMERON LUNDSTROM
Credential	:	PSS, CPT
Telephone Number	:	720-939-3535

Provider Enumeration Date	:	02/10/2023
Last Update Date	:	02/10/2023

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Directions to “NAS RECOVERY SOLUTIONS ” Practice Location

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