| Shadow Mountain Recovery | |
|
400 Alexander Ln Basalt CO 81621-8117 | |
| (970) 927-0556 | |
| Not Available |
| Full Name | Shadow Mountain Recovery |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 400 Alexander Ln, Basalt, Colorado |
| Authorized Official Name and Position | Brad Osborn (PROGRAM DIRECTOR) |
| Authorized Official Contact | 9709270556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shadow Mountain Recovery 400 Alexander Ln Basalt CO 81621-8117 Ph: (970) 927-0556 | Shadow Mountain Recovery 400 Alexander Ln Basalt CO 81621-8117 Ph: (970) 927-0556 |
| NPI Number | 1215304605 |
|---|---|
| Provider Enumeration Date | 09/01/2015 |
| Last Update Date | 12/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215304605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | () | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | () | Primary |
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