| NPI | 1699427344 |
|---|---|
| Doing Business As | ICARUS BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | PAUL COVELLI Owner 719-651-7584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2022-12-08 |