Provider Demographics
NPI:1649793704
Name:RECOVERY RESOURCES
Entity type:Organization
Organization Name:RECOVERY RESOURCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JANELLE
Authorized Official - Middle Name:M
Authorized Official - Last Name:DUHON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CACII
Authorized Official - Phone:307-231-6704
Mailing Address - Street 1:PO BOX 373
Mailing Address - Street 2:
Mailing Address - City:SNOWMASS
Mailing Address - State:CO
Mailing Address - Zip Code:81654-0373
Mailing Address - Country:US
Mailing Address - Phone:970-379-0955
Mailing Address - Fax:844-317-3443
Practice Address - Street 1:405 CASTLE CREEK RD STE 206
Practice Address - Street 2:
Practice Address - City:ASPEN
Practice Address - State:CO
Practice Address - Zip Code:81611-3125
Practice Address - Country:US
Practice Address - Phone:970-379-0955
Practice Address - Fax:844-317-3443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-20
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1819-01324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000160960Medicaid