# SUCAP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Peaceful Spirit Treatment Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033352240
- **Authorized official:** ELAINE WASSERBACH M.A. (DIRECTOR)
- **Authorized official phone:** (970) 563-4517

## Contact information

- **Practice address:** 296 MOUACHE RD., IGNACIO, CO 81137-0429
- **Practice address phone:** (970) 563-4555
- **Practice address fax:** (970) 563-4618
- **Mailing address:** 296 MOUACHE RD., IGNACIO, CO 81137-0429
- **Mailing address phone:** (970) 563-4555
- **Mailing address fax:** (970) 563-4618

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 1445 | CO | Yes |
| 324500000X | Substance Abuse Rehabilitation Facility | 116600 | CO | — |

## Other

- **Enumeration date:** 04/17/2009
- **Last updated:** 04/17/2009