Provider Demographics
NPI:1679183503
Name:FLATIRONS RECOVERY CENTER, LLC
Entity Type:Organization
Organization Name:FLATIRONS RECOVERY CENTER, LLC
Other - Org Name:FLATIRONS RECOVERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SWANSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-227-9014
Mailing Address - Street 1:2770 DAGNY WAY STE 202
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-8013
Mailing Address - Country:US
Mailing Address - Phone:612-267-3085
Mailing Address - Fax:
Practice Address - Street 1:2770 DAGNY WAY STE 202
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-8013
Practice Address - Country:US
Practice Address - Phone:612-267-3085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-05
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder