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Peaceful Spirit/sucap
Substance Abuse Rehabilitation Facility in Ignacio, Colorado
NPI 1104069764

Peaceful Spirit/sucap is a Substance Abuse Rehabilitation Facility based in Ignacio, CO. Peaceful Spirit/sucap practices in Ignacio, CO. The NPI Number for Peaceful Spirit/sucap is 1104069764 and holds a License No. 1390 (Colorado).

The current practice location address for Peaceful Spirit/sucap is 296 Mouache Drive, Ignacio, CO and can be reached out via phone at 970-563-4555 and via fax at 970-563-4618.

Location: 296 Mouache Drive, Ignacio, CO, 81137-0429
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104069764
Provider Name
Peaceful Spirit/sucap
Credential
Provider Entity Type
Organization
Address
296 Mouache Drive, Ignacio, CO, 81137-0429
Phone Number
970-563-4555
Fax Number
970-563-4618
Provider Enumeration Date
04/13/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1390 01 CO COLORADO STATE DEPARTMENT OF REGLATORY AGENCY
institution
Provider Business Practice Location Address Details
Address
296 Mouache Drive
City
Ignacio
State
Colorado
Zip
81137-0429
Phone Number
970-563-4555
Fax Number
970-563-4618
person
Provider Business Mailing Address Details
Address
296 Mouache Drive
City
Ignacio
State
Colorado
Zip
81137-0429
Phone Number
970-563-4555
Fax Number
970-563-4618
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
1390 (Colorado)
Definition
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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296 Mouache,
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81137
970-563-4555
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