Provider Demographics
NPI:1801769070
Name:TRIBE RECOVERY SERVICES INC
Entity type:Organization
Organization Name:TRIBE RECOVERY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-263-8445
Mailing Address - Street 1:1178 MARIPOSA ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-3507
Mailing Address - Country:US
Mailing Address - Phone:303-263-8445
Mailing Address - Fax:
Practice Address - Street 1:1120 W 12TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-3504
Practice Address - Country:US
Practice Address - Phone:303-263-8445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRIBE RECOVERY SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health