Organization
SERENDIPITY MOUNTAIN LODGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH MILLER (CEO)
(719) 426-9883
Entity
Organization
Contact information
Practice address
41250 ALFORD RD, SIMLA, CO 80835-9607
(719) 541-4912
Mailing address
115 TRULL RD, WOODLAND PARK, CO 80863-9027
(719) 541-4912
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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