NPI 1164656211

Peaceful Spirit

Organisation Substance Abuse Rehabilitation Facility Ignacio, CO

Practice location

Address: 296 Mouache, Ignacio, CO 81137
Phone: (970) 563-4555
Mailing address: 296 Mouache St., Ignacio, CO 81137

Authorised official

Name: Dennis W Dahlke
Title: Program Director
Phone: (970) 563-4555

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 1106-00 (CO)

Other Substance Abuse Rehabilitation Facility providers in Colorado →

Registry record

NPI: 1164656211
Entity type: Organization
NPI issued: 5 May 2009
Record last updated: 5 May 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.