| NPI | 1699182410 |
|---|---|
| Doing Business As | SHADOW MOUNTAIN RECOVERY, DENVER |
| Entity Type | Organization |
| Authorized Contact | JACKIE HOLUB Vice President 925-389-8591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2017-04-26 |