Shadow Mountain Recovery

LBN: Shadow Mountain Recovery
Shadow Mountain Recovery is an health care organization with primary practice located at 1155 Kelly Johnson Blvd , Colorado Springs CO 80920-3932. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Shadow Mountain Recovery can be contacted via phone (615) 299-6661, or through Levatino, Mary Elizabeth via phone (615) 299-6661.

Contact Information

Primary practice address
1155 Kelly Johnson Blvd Colorado Springs CO 80920-3932
Phone: (615) 299-6661
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Levatino, Mary Elizabeth
Phone: (615) 299-6661

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X Colorado

Profile Details

NPI number 1346787181
LBN Legal business name Shadow Mountain Recovery
DBA Doing business as
Authorized official Levatino, Mary Elizabeth
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2017
Last updated Jan 31st, 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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