Individual provider · Type 1 NPI
Judy M. Lansing, CACIII
Children's Substance Abuse Rehabilitation Facility · Ignacio, CO
Practice location
296 Mouache Dr.
Ignacio, CO 81137-0429
Fax (970) 563-4618
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Children's Substance Abuse Rehabilitation Facility Primary | 3245S0500X | 116600 (CO) |
Children's 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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
About NPI 1528292521
Judy M. Lansing, CACIII's National Provider Identifier is 1528292521, issued on May 6, 2009. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Ignacio, CO. The record was last updated on May 6, 2009.