institution
Shadow Mountain Llc.
Substance Abuse Rehabilitation Facility in Colorado Springs, Colorado
NPI 1801226709

Shadow Mountain Llc. is a Substance Abuse Rehabilitation Facility based in Birmingham, CO. Shadow Mountain Llc. practices in Colorado Springs, CO. The NPI Number for Shadow Mountain Llc. is 1801226709 and holds a License No. 1746-01 (Colorado).

The current practice location address for Shadow Mountain Llc. is 1155 Kelly Johnson Blvd, Colorado Springs, CO and can be reached out via phone at 719-418-3737.

Location: 1155 Kelly Johnson Blvd, Colorado Springs, CO, 35283-0525
institution
Provider Profile Details
NPI Number
1801226709
Provider Name
Shadow Mountain Llc.
Credential
Provider Entity Type
Organization
Address
1155 Kelly Johnson Blvd, Colorado Springs, CO, 35283-0525
Phone Number
719-418-3737
Fax Number
Provider Enumeration Date
11/14/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1155 Kelly Johnson Blvd
City
State
Zip
80920-3932
Phone Number
719-418-3737
Fax Number
person
Provider Business Mailing Address Details
Address
1155 Kelly Johnson Blvd
City
State
Zip
80920-3932
Phone Number
719-418-3737
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
1746-01 (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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