Organization · Type 2 NPI

Shadow Mountain Llc.

Substance Abuse Rehabilitation Facility · Colorado Springs, CO

NPI number 1164896197 Active

Practice location

2102 University Park Blvd.
Colorado Springs, CO 80918

Call (719) 266-8876 Map

Mailing address

PO Box 830525, Dpeartment # Sf 59
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 1164896197

Shadow Mountain Llc.'s National Provider Identifier is 1164896197, issued on Nov 13, 2015. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Colorado Springs, CO. The record was last updated on Apr 27, 2017.