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PEACEFUL SPIRIT/SUCAP
NPI 1104069764
Substance Abuse Rehabilitation Facility in Ignacio, CO

Active since April 13, 2009
296 MOUACHE DRIVE, IGNACIO, CO 81137(970) 563-4555(970) 563-4618 Get Directions Write a Review

NPPES record last updated: April 13, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peaceful Spirit/sucap NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEACEFUL SPIRIT/SUCAP (NPI 1104069764) is a healthcare organization registered as a substance abuse rehabilitation facility in Ignacio, Colorado and active in the NPI registry since April 2009. The organization lists Dennis William Dahlke, Program Director, as its authorized official.

NPPES Registry Identity

NPI1104069764
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePEACEFUL SPIRIT/SUCAP
Location Address296 MOUACHE DRIVEIgnacio, CO 81137-0429
Mailing AddressPo Box 429Ignacio, CO 81137-0429 · (970) 563-4555 · Fax (970) 563-4618
Phone(970) 563-4555
Fax(970) 563-4618
Organization SubpartNo
Authorized OfficialDennis William DahlkeProgram Director · (970) 563-4555
Enumeration DateApril 13, 2009
✔ NPI 1104069764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in CO · 1390
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
296 MOUACHE DRIVE, Ignacio, CO 81137
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Other Identifiers 1

Other1390CO · Colorado State Department Of Reglatory Agency

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peaceful Spirit/Sucap's NPI number?

The NPI number for Peaceful Spirit/Sucap is 1104069764. It was assigned to this organization in the NPPES registry on April 13, 2009.

Where is Peaceful Spirit/Sucap located?

Peaceful Spirit/Sucap is located at 296 Mouache Drive, Ignacio, CO 81137. The listed phone number is (970) 563-4555.

What is Peaceful Spirit/Sucap's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Peaceful Spirit/Sucap was last updated on April 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.