Organization Name: | EL PASO COUNTY COMMUNITY DETOX FACILITY |
NPI Number: | 1922434182 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | IMAD KARAKI (SUPPORT SERVICES DIRECTOR) |
Mailing Address: | 2723 E. Las Vegas St. Colorado Springs |
State: | CO US |
Postal Code: | 80906 |
Phone Number: | 7193902046 |
Fax Number: | 7193902049 |
NPI Enumeration Date: | 09/19/2013 |
NPI Last Update Date: | 09/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 324500000X |
License Number: | 1658-00 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
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. |