SUCAP NPI 1033352240

NPI Information

NPI: 1033352240
Provider Name: SUCAP

Other Name: PEACEFUL SPIRIT TREATMENT CENTER

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
296 MOUACHE RD.
IGNACIO, CO
ZIP 81137
Phone: (970) 563-4555
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SUCAP is an addiction (substance use disorder) counselor in Ignacio, CO. SUCAP NPI is 1033352240. The provider is registered as an organization entity type.
The provider Other Name Is Peaceful Spirit Treatment Center.

The provider's business location address is:

296 MOUACHE RD.
IGNACIO, CO
ZIP 81137-429
Phone: (970) 563-4555
Fax: (970) 563-4618

The provider's authorized official is Elaine Wasserbach .
The authorized official title is Director and has the following contact phone number (970) 563-4517.

The enumeration date for this NPI number is 4/17/2009 and was last updated on 4/17/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	324500000X	Substance Abuse Rehabilitation Facility		116600	COLORADO	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1445	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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