Shadow Mountain Recovery, University Park

LBN: Shadow Mountain Llc.
Shadow Mountain Recovery, University Park is an health care organization with primary practice located at 2102 University Park Blvd. , Colorado Springs CO 80918. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Shadow Mountain Llc. can be contacted via phone (719) 266-8876, or through Holub, Jackie via phone (925) 389-8591.

Contact Information

Primary practice address
2102 University Park Blvd. Colorado Springs CO 80918
Phone: (719) 266-8876
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Holub, Jackie
Phone: (925) 389-8591

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1164896197
LBN Legal business name Shadow Mountain Llc.
DBA Doing business as Shadow Mountain Recovery, University Park
Authorized official Holub, Jackie
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2015
Last updated Apr 27th, 2017 - about 9 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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