Sucap
Organization Active NPI Addiction (Substance Use Disorder) Counselor · Ignacio, CO
NPI 1033352240 · NPPES record last updated Apr 17, 2009
Key facts
- NPI
- 1033352240
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 1445 (CO)
- Legal business name
- SUCAP
- Practice address
- 296 Mouache Rd.
Ignacio, CO 81137-0429 - Phone
- (970) 563-4555
- Fax
- (970) 563-4618
- NPI assigned
- Apr 17, 2009
- Organization subpart
- No
Authorized official
- Name
- Elaine Wasserbach, M.A.
- Title
- Director
- Phone
- (970) 563-4517
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | 1445 | CO | Yes |
| Substance Abuse Rehabilitation Facility | 324500000X | 116600 | CO |
Addresses
Primary practice location
296 Mouache Rd.
Ignacio, CO 81137-0429
Mailing address
296 Mouache Rd.
Ignacio, CO 81137-0429
Phone (970) 563-4555
Other names
- Peaceful Spirit Treatment Center
Other providers in Ignacio, CO
- Southern Colorado Ute Service Unit
- Southern Ute Indian Tribe
- Southern Ute Indian Tribe
- Southern Ute Indian Tribe
- Stephen Matthew Stockhausen
- Tia Gabrielle Swanemyr
- Rose Marie Swanson
- Jeanette S Swayze
- Shawmarie Tso
- Susan Jane Turner
All providers in Ignacio, CO · Addiction (Substance Use Disorder) Counselor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.