Organization
SHADOW MOUNTAIN BEHAVIORAL HEALTH LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM HODSON (CLINICAL DIRECTOR)
(719) 465-4121
Entity
Organization
Contact information
Practice address
1155 KELLY JOHNSON BLVD, SUITE 206, COLORADO SPRINGS, CO 80920-3932
(719) 229-5990
Mailing address
1155 KELLY JOHNSON BLVD, SUITE 206, COLORADO SPRINGS, CO 80920-3932
(719) 229-5990
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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