Provider Demographics
NPI:1245797505
Name:A NEW OUTLOOK RECOVERY SERVICES LLC
Entity Type:Organization
Organization Name:A NEW OUTLOOK RECOVERY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:SAP, MAC, LAC
Authorized Official - Phone:720-837-0491
Mailing Address - Street 1:1510 W CANAL CT STE 2500
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-5639
Mailing Address - Country:US
Mailing Address - Phone:303-798-2196
Mailing Address - Fax:303-730-2418
Practice Address - Street 1:1510 W CANAL CT STE 2500
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-5639
Practice Address - Country:US
Practice Address - Phone:303-798-2196
Practice Address - Fax:303-730-2418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-22
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health