Organization
PEACEFUL SPIRIT/SUCAP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS WILLIAM DAHLKE MED, CACIII, LPC (PROGRAM DIRECTOR)
(970) 563-4555
Entity
Organization
Contact information
Practice address
296 MOUACHE DRIVE, IGNACIO, CO 81137-0429
(970) 563-4555
(970) 563-4618
Mailing address
PO BOX 429, IGNACIO, CO 81137-0429
(970) 563-4555
(970) 563-4618
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1390
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1390
COLORADO STATE DEPARTMENT OF REGLATORY AGENCY
CO
Enumeration date
04/13/2009
Last updated
04/13/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up