Provider Demographics
NPI:1669065520
Name:REGION SIX ALCOHOL & DRUG ABUSE INC.
Entity type:Organization
Organization Name:REGION SIX ALCOHOL & DRUG ABUSE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-456-2600
Mailing Address - Street 1:PO BOX 162
Mailing Address - Street 2:
Mailing Address - City:LAS ANIMAS
Mailing Address - State:CO
Mailing Address - Zip Code:81054-0162
Mailing Address - Country:US
Mailing Address - Phone:719-456-2600
Mailing Address - Fax:
Practice Address - Street 1:30999 COUNTY ROAD 15 BLDG 8
Practice Address - Street 2:
Practice Address - City:LAS ANIMAS
Practice Address - State:CO
Practice Address - Zip Code:81054-9499
Practice Address - Country:US
Practice Address - Phone:719-456-2606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-11
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility