NPI | 1407554439 |
---|---|
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 | 2023-02-20 |
Last Update Date | 2023-02-20 |