Provider Demographics
NPI:1780143842
Name:P2P RECOVERY RESOURCES
Entity type:Organization
Organization Name:P2P RECOVERY RESOURCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:BRUCE
Authorized Official - Last Name:EDMONSTONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-973-7611
Mailing Address - Street 1:1245 E COLFAX AVE STE 403
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-2238
Mailing Address - Country:US
Mailing Address - Phone:303-524-9231
Mailing Address - Fax:
Practice Address - Street 1:1245 E COLFAX AVE STE 403
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-2238
Practice Address - Country:US
Practice Address - Phone:303-524-9231
Practice Address - Fax:303-862-6617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-18
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000181138Medicaid