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SCW RECOVERY LLC NPI 1114584232


NPI Information

NPI: 1114584232
Provider Name: SCW RECOVERY LLC

Doing Business As: SUMMIT WOMEN'S RECOVERY

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 06D2164829

Address:
330 FIEDLER AVE
STE 103
DILLON, CO
ZIP 80435
Phone: (888) 233-1553
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SCW RECOVERY LLC is a substance abuse rehabilitation facility in Dillon, 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. SCW RECOVERY LLC NPI is 1114584232. The provider is registered as an organization entity type.
The provider Is Doing Business As Summit Women's Recovery.

The provider's business location address is:

330 FIEDLER AVE
STE 103
DILLON, CO
ZIP 80435
Phone: (888) 233-1553
Fax: (720) 282-5737

The provider's authorized official is Donna Cheramy .
The authorized official title is Executive Director and has the following contact phone number (928) 899-5828.

The CLIA number assigned to this NPI record is 06D2164829 - other - substance abuse treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2019 and was last updated on 12/19/2023.


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
1324500000XSubstance Abuse Rehabilitation FacilityYes

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
11832-01OTHERCOLORADOOBH LICENSE NUMBER

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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