Recovery Village at Palmer Lake, LLC
NPI #1356738132 in Palmer Lake, Colorado
Provider Information
- NPI Number
- 1356738132
- Entity Type
- Organization
- Organization Name
- Recovery Village at Palmer Lake, LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Apr 20, 2015
- Last Updated
- Jun 17, 2019
Practice Location
- Address
- 443 HIGHWAY 105
- City
- Palmer Lake
- State
- Colorado
- ZIP Code
- 80133-9003
- Phone
- (719) 481-1800
Authorized Official
- Name
- BELINA SURUJON
- Title
- LICENSING & CONTRACTING DIRECTOR
- Phone
- (754) 300-3120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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