Jaywalker Lodge INC
NPI #1972901080 in Carbondale, Colorado
Provider Information
- NPI Number
- 1972901080
- Entity Type
- Organization
- Organization Name
- Jaywalker Lodge INC
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Dec 5, 2014
- Last Updated
- Jun 26, 2020
Practice Location
- Address
- 725 MAIN ST
- City
- Carbondale
- State
- Colorado
- ZIP Code
- 81623
- Phone
- (970) 704-9292
Authorized Official
- Name
- LAURI WINSLOW
- Title
- DIRECTOR OF INSURANCE
- Phone
- (970) 704-9292
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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