Organization · Type 2 NPI

Shadow Mountain Llc.

Substance Abuse Rehabilitation Facility · Cascade, CO

NPI number 1154733558 Active

Practice location

5250 Pikes Peak Highway
Cascade, CO 80809

Fax (719) 684-7841

Mailing address

PO Box 830525, Department # Sf 56
Birmingham, AL 35283-0525

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

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.

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About NPI 1154733558

Shadow Mountain Llc.'s National Provider Identifier is 1154733558, issued on May 20, 2014. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Cascade, CO. The record was last updated on Apr 27, 2017.