| NPI | 1023761673 |
|---|---|
| Doing Business As | ICARUS BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | PAUL COVELLI Owner 719-651-7584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2022-12-08 |