Realize Recovery LLC

NPI #1003462623 in Boulder, Colorado

Provider Information

NPI Number
1003462623
Entity Type
Organization
Organization Name
Realize Recovery LLC
Primary Specialty
Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date
Aug 11, 2019
Last Updated
Aug 11, 2019

Practice Location

Address
3775 IRIS AVE STE 6
ZIP Code
80301-2043
Phone
(512) 644-8598

Authorized Official

Name
QUDDUS FUJITA MAUS, MA, LPC
Title
OWNER
Phone
(512) 644-8598

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder

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