Organization Name: | SOUTHEAST COLORADO FOR DRUG-FREE COMMUNITIES, INC. |
NPI Number: | 1316152101 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LILLIAN M. NORMAN (DIRECTOR) |
Mailing Address: | 1006 S Main St Lamar |
State: | CO US |
Postal Code: | 810523814 |
Phone Number: | 7193362600 |
Fax Number: | 7193363669 |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1239-00 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |