Provider Demographics
NPI:1790576528
Name:KALEIDOSCOPE RECOVERY & PEER CENTER, LLC
Entity type:Organization
Organization Name:KALEIDOSCOPE RECOVERY & PEER CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:ANTONIA
Authorized Official - Last Name:PERLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-737-9991
Mailing Address - Street 1:5820 W LOUISIANA AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80232-5874
Mailing Address - Country:US
Mailing Address - Phone:303-483-5646
Mailing Address - Fax:303-800-9789
Practice Address - Street 1:5820 W LOUISIANA AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80232-5874
Practice Address - Country:US
Practice Address - Phone:303-483-5646
Practice Address - Fax:303-800-9789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Single Specialty