| NPI | 1215304605 |
|---|---|
| Other Name | SHADOW MOUNTAIN RECOVERY |
| Entity Type | Organization |
| Authorized Contact | BRAD OSBORN Program Director 970-927-0556 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2016-12-30 |