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Organization
SOUTHERN COLORADO COMMUNITY ACTION AGENCY, INC.
Active
Organization
SOUTHERN COLORADO COMMUNITY ACTION AGENCY, INC.
Active
Other names
Peaceful Spirit Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI ANN NIEWOLD (EXECUTIVE DIRECTOR)
(970) 563-4517
Entity
Organization
Contact information
Practice address
535 CANDELARIA DR, IGNACIO, CO 81137-0800
(970) 563-4517
(970) 563-4504
Mailing address
PO BOX 800, IGNACIO, CO 81137-0800
(970) 563-4517
(970) 563-4504
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
163W00000X
Registered Nurse
—
CO
172A00000X
Driver
—
CO
Other
Enumeration date
04/09/2009
Last updated
11/26/2019
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