Organization Active NPI

Wits End Ranch Retreat

  • Substance Abuse Rehabilitation Facility
  • Bayfield, CO
National Provider Identifier
1629428503
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
WITS END RANCH RETREAT
Practice address
254 County Road 500
Bayfield, CO 81122-8721
Phone
(970) 749-6216
Fax
(970) 884-2327
NPI assigned
Jun 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dawn Marie SolomonNPI 1215383849
Title
Owner/Program Director
Phone
(970) 749-6126

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

254 County Road 500
Bayfield, CO 81122-8721

Mailing address

254 County Road 500
Bayfield, CO 81122-8721
Phone (970) 749-6216

National Provider Directory

National Provider Directory

Locations

254 County Road 500
Bayfield, CO 81122
Phone (970) 749-6126

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1629428503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 COUNTY ROAD 500",
            "city": "BAYFIELD",
            "state": "CO",
            "postal_code": "811228721",
            "telephone_number": "970-749-6216",
            "fax_number": "970-884-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 COUNTY ROAD 500",
            "city": "BAYFIELD",
            "state": "CO",
            "postal_code": "811228721",
            "telephone_number": "970-749-6216",
            "fax_number": "970-884-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITS END RANCH RETREAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "970-749-6126"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.