Organization · Type 2 NPI
Jaywalker Lodge, Inc.
Substance Abuse Rehabilitation Facility · Carbondale, CO
NPI number
1316719867
Active
Practice location
850 Main Ct
Carbondale, CO 81623-1852
Fax (970) 704-9092
Mailing address
PO Box 969
Carbondale, CO 81623-0969
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None 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.
Another provider at this address
Other substance abuse rehabilitation facility providers in Carbondale
About NPI 1316719867
Jaywalker Lodge, Inc.'s National Provider Identifier is 1316719867, issued on Oct 27, 2023. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Carbondale, CO. The record was last updated on Oct 27, 2023.