Organization Name: | SOUTHERN COLORADO ADDICTION RECOVERY CENTER |
NPI Number: | 1295903045 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL J. MCKELVEY (EXECUTIVE DIRECTOR) |
Mailing Address: | 5250 Pikes Peak Hwy Cascade |
State: | CO US |
Postal Code: | 808091110 |
Phone Number: | 7192175082 |
Fax Number: | |
NPI Enumeration Date: | 02/14/2008 |
NPI Last Update Date: | 02/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 324500000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Substance Abuse Rehabilitation Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |