| NPI | 1023592508 |
|---|---|
| Other Name | COLORADO MOUNTAIN RECOVERY AT LOST CREEK RANCH |
| Entity Type | Organization |
| Authorized Contact | CHEYENNE TAYLOR GARRISON Drug And Alcohol Program Manager 719-493-0937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TR0400X Psychologist, Rehabilitation | |
| 133N00000X Nutritionist | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult | |
| 164W00000X Licensed Practical Nurse | |
| 174200000X Meals | |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 251S00000X | |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2018-09-20 |