| Acqua Recovery Colorado | |
|
5353 Manhattan Cir Ste 101 Boulder CO 80303-4200 | |
| (303) 736-2536 | |
| Not Available |
| Full Name | Acqua Recovery Colorado |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 5353 Manhattan Cir Ste 101, Boulder, Colorado |
| Authorized Official Name and Position | Scott Lister (COO) |
| Authorized Official Contact | 9709872583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Acqua Recovery Colorado Po Box 982437 Park City UT 84098-2437 Ph: () - | Acqua Recovery Colorado 5353 Manhattan Cir Ste 101 Boulder CO 80303-4200 Ph: (303) 736-2536 |
| NPI Number | 1750279931 |
|---|---|
| Provider Enumeration Date | 06/25/2025 |
| Last Update Date | 06/25/2025 |
| Certification Date | 06/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750279931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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