Jaywalker Lodge, LLC
NPI #1750657482 in Carbondale, Colorado
Provider Information
- NPI Number
- 1750657482
- Entity Type
- Organization
- Organization Name
- Jaywalker Lodge, LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Mar 27, 2012
- Last Updated
- Mar 10, 2025
Practice Location
- Address
- 811 MAIN CT
- City
- Carbondale
- State
- Colorado
- ZIP Code
- 81623-1851
- Phone
- (970) 704-9292
Authorized Official
- Name
- LAURI A WINSLOW
- Title
- DIRECTOR OF INSURANCE
- Phone
- (970) 704-9292
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
Additional Practice Locations
35 N 7th St
Carbondale, CO, 81623-1901
(970) 704-9292
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