Provider Demographics
NPI:1063249407
Name:RECOVERY SERVICE PROVIDERS PC
Entity type:Organization
Organization Name:RECOVERY SERVICE PROVIDERS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KRUTSCHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-341-2163
Mailing Address - Street 1:21451 E EUCLID DR
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80016-2637
Mailing Address - Country:US
Mailing Address - Phone:720-341-2163
Mailing Address - Fax:
Practice Address - Street 1:21451 E EUCLID DR
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80016-2637
Practice Address - Country:US
Practice Address - Phone:571-354-9008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-18
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral Health