Organization · Type 2 NPI
Peaceful Spirit/sucap
Substance Abuse Rehabilitation Facility · Ignacio, CO
NPI number
1104069764
Active
Practice location
296 Mouache Drive
Ignacio, CO 81137-0429
Fax (970) 563-4618
Mailing address
PO Box 429
Ignacio, CO 81137-0429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 1390 (CO) |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Other substance abuse rehabilitation facility providers in Ignacio
About NPI 1104069764
Peaceful Spirit/sucap's National Provider Identifier is 1104069764, issued on Apr 13, 2009. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Ignacio, CO. The record was last updated on Apr 13, 2009.