Jaywalker Lodge, Inc.
NPI #1316719867 in Carbondale, Colorado
Provider Information
- NPI Number
- 1316719867
- Entity Type
- Organization
- Organization Name
- Jaywalker Lodge, Inc.
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Oct 27, 2023
- Last Updated
- Oct 27, 2023
Practice Location
- Address
- 850 MAIN CT
- City
- Carbondale
- State
- Colorado
- ZIP Code
- 81623-1852
- Phone
- (970) 704-9292
Authorized Official
- Name
- LAURI WINSLOW
- Title
- DIRECTOR OF INSURANCE
- Phone
- (970) 704-9292
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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