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NPI Code Detail

MEDICARE: PEAKS RECOVERY SERVICES

MEDICARE: PEAKS RECOVERY SERVICES
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
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number : 1902357551
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEAKS RECOVERY SERVICES
Provider Business Mailing Address
First Line : 5475 MARK DABLING BLVD STE 102
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-3847
Country : US
Telephone Number : 913-205-0427
Fax Number : 719-528-2433
Provider Business Practice Location Address
First Line : 5475 MARK DABLING BLVD STE 102
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-3847
Country : US
Telephone Number : 913-205-0427
Fax Number : 719-528-2433
Authorized Official
Title or Position : OWNER
Name : CHRIS BURNS
Credential :
Telephone Number : 913-205-0427
Provider Enumeration Date : 10/19/2016
Last Update Date : 10/19/2016

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Directions to “PEAKS RECOVERY SERVICES ” Practice Location

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