Peaceful Spirit is a health care provider in Ignacio, CO. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||296 Mouache, Ignacio, CO 81137, US|
|Practice Location Phone||970-563-4555|
|Practice Location Fax|
|Legal Business Name||PEACEFUL SPIRIT|
|Enumeration Date ?||May 5, 2009|
|Last Update Date ?||May 5, 2009|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Substance Abuse Rehabilitation Facility||Residential Treatment Facilities||1106-00||Colorado|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Peaceful Spirit's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Mr. Dennis W Dahlke (MED, LPC, CAC III)|
|Authorized Official Title/Position||PROGRAM DIRECTOR|
|Authorized Official Phone Number||970-563-4555|