Organization · Type 2 NPI

Shadow Mountain Llc.

Substance Abuse Rehabilitation Facility · Colorado Springs, CO

NPI number 1801226709 Active

Practice location

1155 Kelly Johnson Blvd, Suite 201
Colorado Springs, CO 80920-3932

Call (719) 418-3737 Map

Mailing address

PO Box 830525, Department # Sf 58
Birmingham, AL 35283-0525

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency	251S00000X	1746-01 (CO)
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.

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About NPI 1801226709

Shadow Mountain Llc.'s National Provider Identifier is 1801226709, issued on Nov 14, 2013. 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 Feb 27, 2017.