Shadow Mountain Llc.
NPI #1154733558 in Cascade, Colorado
Provider Information
- NPI Number
- 1154733558
- Entity Type
- Organization
- Organization Name
- Shadow Mountain Llc.
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- May 20, 2014
- Last Updated
- Apr 27, 2017
Practice Location
Authorized Official
- Name
- JACKIE HOLUB
- Title
- VICE PRESIDENT
- Phone
- (925) 389-8591
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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