Texan Resort Recovery LLC

Organization Active NPI Substance Abuse Rehabilitation Facility · Lake City, CO

NPI 1679948764 · NPPES record last updated Dec 1, 2015

Key facts

NPI
1679948764
Entity type
Organization (NPI type 2)
Primary specialty
Substance Abuse Rehabilitation Facility 324500000X
Legal business name
TEXAN RESORT RECOVERY LLC
Practice address
860 Co Rd 142
Lake City, CO 81235
Phone
(970) 944-2246
Fax
(970) 944-2477
NPI assigned
Dec 1, 2015
Organization subpart
Yes
Parent organization (as reported)
ARBROVITAE ENTERPRISES LLC

Authorized official

Name
Arlen Barksdale
Title
Owner
Phone
(760) 533-8714

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Texan Resort Recovery LLC (2 organizations share this tax ID)
Part of
Texan Resort Recovery LLC

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Yes

Addresses

Primary practice location

860 Co Rd 142
Lake City, CO 81235

Mailing address

PO Box 156
860 Co Rd 142
Lake City, CO 81235-0156
Phone (970) 944-2246

Other providers in Lake City, CO

All providers in Lake City, CO · Substance Abuse Rehabilitation Facility in Colorado

Sources for this page

Verify at the official NPI Registry.