| Ibac | |
|
310 Habitat Bay Windsor CO 80550-6130 | |
| (970) 215-5000 | |
| Not Available |
| Full Name | Ibac |
|---|---|
| Speciality | Clinic/center - Recovery Care |
| Location | 310 Habitat Bay, Windsor, Colorado |
| Authorized Official Name and Position | David C Jones (PRESIDENT) |
| Authorized Official Contact | 8557555200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ibac Po Box 146 Windsor CO 80550-0146 Ph: (970) 215-5000 | Ibac 310 Habitat Bay Windsor CO 80550-6130 Ph: (970) 215-5000 |
| NPI Number | 1356101042 |
|---|---|
| Provider Enumeration Date | 03/20/2024 |
| Last Update Date | 09/18/2024 |
| Certification Date | 09/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356101042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QR0800X | Clinic/center - Recovery Care | (* (Not Available)) | Primary |
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