Provider Demographics
NPI:1770034076
Name:SCI RECOVERY PROJECT
Entity Type:Organization
Organization Name:SCI RECOVERY PROJECT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:TAHVERLEE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-286-0918
Mailing Address - Street 1:866 E 78TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80229-5934
Mailing Address - Country:US
Mailing Address - Phone:303-286-0918
Mailing Address - Fax:
Practice Address - Street 1:866 E 78TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80229-5934
Practice Address - Country:US
Practice Address - Phone:303-286-0918
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-21
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACU.0002005171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty