| Organization Name: | ROCK BOTTOM RECOVERY PLACE, LLC |
| NPI Number: | 1407141260 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DOLORES J WALKER (CEO, DIR. CLINICAL SERVICES) |
| Mailing Address: | 6910 Bandley Dr Suite 135 Fountain |
| State: | CO US |
| Postal Code: | 808172617 |
| Phone Number: | 7193825778 |
| Fax Number: | 7193908239 |
| NPI Enumeration Date: | 06/09/2011 |
| NPI Last Update Date: | 06/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0405X |
| License Number: | 160701 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
| Taxonomy Definition: | |