Provider Demographics
NPI:1366274862
Name:EMPOWER RECOVERY LLC
Entity type:Organization
Organization Name:EMPOWER RECOVERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:OKODO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-317-5688
Mailing Address - Street 1:1235 W 112TH AVE UNIT C
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80234-4347
Mailing Address - Country:US
Mailing Address - Phone:720-530-9809
Mailing Address - Fax:
Practice Address - Street 1:11186 LIVINGSTON DR
Practice Address - Street 2:
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80234-6200
Practice Address - Country:US
Practice Address - Phone:720-530-9809
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-14
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilityGroup - Multi-Specialty