ROCK BOTTOM RECOVERY PLACE LLC NPI 1407141260

NPI Information

NPI: 1407141260
Provider Name: ROCK BOTTOM RECOVERY PLACE, LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
6910 BANDLEY DR
SUITE 135
FOUNTAIN, CO
ZIP 80817
Phone: (719) 382-5778
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ROCK BOTTOM RECOVERY PLACE, LLC is a rehabilitation and substance use disorder clinic center in Fountain, CO. ROCK BOTTOM RECOVERY PLACE, LLC NPI is 1407141260. The provider is registered as an organization entity type.

The provider's business location address is:

6910 BANDLEY DR
SUITE 135
FOUNTAIN, CO
ZIP 80817-617
Phone: (719) 382-5778
Fax: (719) 390-8239

The provider's authorized official is Dolores J Walker .
The authorized official title is Ceo, Dir. Clinical Services and has the following contact phone number (719) 382-5778.

The enumeration date for this NPI number is 6/9/2011 and was last updated on 6/9/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	160701	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	507105	OTHER	COLORADO	NAADAC MASTER ADDICTION COUNSELOR
2	4306	OTHER	COLORADO	LICENSED PROFESSIONAL COUNSELOR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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