Organization · Type 2 NPI
Jaywalker Lodge Inc
Substance Use Disorder Rehabilitation Clinic/Center · Carbondale, CO
NPI number
1972901080
Active
Practice location
725 Main St
Carbondale, CO 81623
Mailing address
PO Box 969
Carbondale, CO 81623-0969
Other practice locations
- 811 Main Ct, Carbondale, CO 81623-1851 · (970) 704-9292
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
4 other providers at this address
- John Patrick Fullam, LPCMental Health Counselor Carbondale, CO NPI 1720680945
- Patrick Whiting Young, MA, CAC-IIAddiction (Substance Use Disorder) Counselor Carbondale, CO NPI 1497258057
- Robert Bell, MA, LPCAddiction (Substance Use Disorder) Counselor Carbondale, CO NPI 1629723564
- Todd Evan Herrmann, CATAddiction (Substance Use Disorder) Counselor Carbondale, CO NPI 1720809494
Other substance use disorder rehabilitation clinic/center providers in Carbondale
About NPI 1972901080
Jaywalker Lodge Inc's National Provider Identifier is 1972901080, issued on Dec 5, 2014. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Carbondale, CO. The record was last updated on Jun 26, 2020.