Organization · Type 2 NPI
Jaywalker Lodge, LLC
Substance Abuse Rehabilitation Facility · Carbondale, CO
NPI number
1750657482
Active
Practice location
811 Main Ct
Carbondale, CO 81623-1851
Mailing address
PO Box 969
Carbondale, CO 81623-0969
Other practice locations
- 35 N 7th St, Carbondale, CO 81623-1901 · (970) 704-9292
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 1548-01 (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.
7 other providers at this address
- Alice Hastings Johnson, LCSWClinical Social Worker Carbondale, CO NPI 1275216780
- Brendon Michael Kerton, M.A., LPC, LACMental Health Counselor Carbondale, CO NPI 1194361345
- Henry Garrett Maxwell, CAC IIAddiction (Substance Use Disorder) Counselor Carbondale, CO NPI 1750883161
- Henry Hanrahan, LACAddiction (Substance Use Disorder) Counselor Carbondale, CO NPI 1811839525
- Joseph Walter Hermes, MA LACAddiction (Substance Use Disorder) Counselor Carbondale, CO NPI 1346819299
- Rodney Craig Lauf, LPCC; CACIAddiction (Substance Use Disorder) Counselor Carbondale, CO NPI 1649969643
- Scott YorkoMental Health Counselor Carbondale, CO NPI 1124935812
Other substance abuse rehabilitation facility providers in Carbondale
About NPI 1750657482
Jaywalker Lodge, LLC's National Provider Identifier is 1750657482, issued on Mar 27, 2012. 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 Mar 10, 2025.