Organization · Type 2 NPI
Island Grove Regional Treatment Center
Substance Abuse Rehabilitation Facility · Fort Collins, CO
NPI number
1194903153
Active
Practice location
212 W Mountain Avenue
Fort Collins, CO 80521
Fax (970) 224-9606
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 105104 (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.
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About NPI 1194903153
Island Grove Regional Treatment Center's National Provider Identifier is 1194903153, issued on Feb 1, 2008. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Fort Collins, CO. The record was last updated on Feb 1, 2008.