Organization · Type 2 NPI

Antelope Recovery LLC

Adolescent and Children Mental Health Clinic/Center · Boulder, CO

NPI number 1174225031 Active

Practice location

1035 Pearl Street, Suite 313
Boulder, CO 80302

Mailing address

1035 Pearl St Ste 313
Boulder, CO 80302-5130

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Clinical Psychologist 103TC0700XNone listed
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855XNone listed

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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About NPI 1174225031

Antelope Recovery LLC's National Provider Identifier is 1174225031, issued on Mar 21, 2023. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Boulder, CO. The record was last updated on Mar 21, 2023.