Illuminate Community Recovery Services
Community/Behavioral Health in Franktown, CO. Organization (NPI-2).
NPI number1265200331
StatusActive
Last updated in NPPESDec 18, 2023
Details
- NPI
- 1265200331
- Entity type
- Organization (NPI-2)
- Legal business name
- Illuminate Community Recovery Services
- Organization subpart
- No
- Enumeration date
- Dec 18, 2023
- Certification date
- Dec 18, 2023
- Last updated
- Dec 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
2075 Summit StFranktown, CO 80116-8518
Phone 303-717-4039
Mailing address
2075 Summit StFranktown, CO 80116-8518
Authorized official
Heather Lister
Owner
7207433232
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