Shadow Mountain Recovery, Colorado Springs

LBN: Shadow Mountain Llc.
Shadow Mountain Recovery, Colorado Springs is an health care organization with primary practice located at 1155 Kelly Johnson Blvd Suite 201, Colorado Springs CO 80920-3932. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Shadow Mountain Llc. can be contacted via phone (719) 418-3737, or through Holub, Jackie via phone (925) 389-8591.

Contact Information

Primary practice address
1155 Kelly Johnson Blvd Suite 201 Colorado Springs CO 80920-3932
Phone: (719) 418-3737
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Holub, Jackie
Phone: (925) 389-8591

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 1746-01 Colorado
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1801226709
LBN Legal business name Shadow Mountain Llc.
DBA Doing business as Shadow Mountain Recovery, Colorado Springs
Authorized official Holub, Jackie
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2013
Last updated Feb 27th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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