Provider Demographics
NPI:1225425911
Name:RED ROCK RECOVERY CENTERS LLC
Entity Type:Organization
Organization Name:RED ROCK RECOVERY CENTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:HENLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-719-0097
Mailing Address - Street 1:PO BOX 22011
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-0011
Mailing Address - Country:US
Mailing Address - Phone:888-719-1097
Mailing Address - Fax:720-545-9080
Practice Address - Street 1:9189 S TURKEY CREEK RD
Practice Address - Street 2:
Practice Address - City:MORRISON
Practice Address - State:CO
Practice Address - Zip Code:80465-9422
Practice Address - Country:US
Practice Address - Phone:888-719-1097
Practice Address - Fax:720-545-9080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-20
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1775-00261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder