Provider Name/NPI | Address | Taxonomy (Code) |
---|---|---|
Sucap NPI- 1033352240 |
296 Mouache Rd., Ignacio - 81137 |
Substance Abuse Rehabilitation Facility (324500000X) |
Peaceful Spirit/sucap NPI- 1104069764 |
296 Mouache Drive, Ignacio - 81137 |
Substance Abuse Rehabilitation Facility (324500000X) |
Peaceful Spirit NPI- 1164656211 |
296 Mouache, Ignacio - 81137 |
Substance Abuse Rehabilitation Facility (324500000X) |
Michael Anthony Joseph NPI- 1568605012 |
296 Mouache Rd., Ignacio - 81137 |
Substance Abuse Rehabilitation Facility (324500000X) |