Organization · Type 2 NPI

Providence Recovery Service of Colorado LLC

Addiction (Substance Use Disorder) Counselor · Craig, CO

NPI number 1306408216 Active

Practice location

390 Yampa Boulevard
Craig, CO 81625-2600

Mailing address

PO Box 895
Craig, CO 81626-0895

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1306408216

Providence Recovery Service of Colorado LLC's National Provider Identifier is 1306408216, issued on Jul 1, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Craig, CO. The record was last updated on Feb 26, 2020.