Peaceful Spirit/Sucap Valid NPI
Organization · Substance Abuse Rehabilitation Facility · Ignacio, CO
- NPI
- 1104069764
- Type
- Organization (Type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility
- Specialty group
- Residential Treatment Facilities
- Taxonomy code
- 324500000X
- License number
- 1390 (CO)
- Enumerated
- 2009-04-13
- Last updated
- 2009-04-13
Practice location
296 Mouache Drive
Ignacio, CO 81137-0429
(970) 563-4555