RIVERS EDGE SEXUAL RECOVERY CENTER


Address: 1354 E Sherwood Dr # 108, Grand Junction, CO 81501-7546
Phone: 9707080853

RIVERS EDGE SEXUAL RECOVERY CENTER (NPI# 1346751559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346751559
Entity Type Organization
Organization Name RIVERS EDGE SEXUAL RECOVERY CENTER
Practice Address 1354 E Sherwood Dr # 108
Grand Junction
CO 81501-7546
Practice Telephone 9707080853
Mailing Telephone 9707080853
Enumeration Date 2017-10-14
Last Update Date 2017-10-14
Authorized Official Name MRS. SHERRON KILGORE (LEAD THERAPIST)
Authorized Official Telephone 9707080853
Authorized Official Credential PSYCHOTHERAPIST
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health NLC0105362 CO Agencies

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Rivers Edge Sexual Recovery Center, LLC 1354 East Sherwood Drive Suite 108, Grand Junction, CO 81501

Office Location

Street Address 1354 E SHERWOOD DR # 108
City GRAND JUNCTION
State CO
Zip Code 81501-7546

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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

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1659722825 Griffith Centers for Children Community/Behavioral Health 2705 Midway Ave, Grand Junction, CO 81506-4060 2016-06-28
1619337391 Offender Services, Inc. Community/Behavioral Health 389 Roberts Ct, Grand Junction, CO 81504-6155 2016-02-24
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1992708176 Colorado West Regional Mental Health, Inc. Community/Behavioral Health 515 28 3/4 Rd, Grand Junction, CO 81501 2005-05-23
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Competitor

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City GRAND JUNCTION
Zip Code 81501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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