| NPI | 1801226709 |
|---|---|
| Doing Business As | SHADOW MOUNTAIN RECOVERY, COLORADO SPRINGS |
| Entity Type | Organization |
| Authorized Contact | JACKIE HOLUB Vice President 925-389-8591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X (Licence: CO 1746-01) |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2017-02-27 |