RECOVERY VILLAGE AT PALMER LAKE, LLC is a substance abuse rehabilitation facility in Palmer Lake, CO. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. RECOVERY VILLAGE AT PALMER LAKE, LLC NPI is 1356738132. The provider is registered as an organization entity type.
The provider's business location address is:
443 HIGHWAY 105
PALMER LAKE, CO
ZIP 80133-003
Phone: (719) 481-1800
The provider's authorized official is Belina Surujon .
The authorized official title is Licensing & Contracting Director and has the following contact phone number (754) 300-3120.
The CLIA number assigned to this NPI record is 11D2262283 - other - residential treatment fac with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/20/2015 and was last updated on 6/17/2019.