Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Recovery Care |
261QR0800X | |||
Addiction Medicine |
207QA0401X | 08 | Physician/Family Practice |
| NPI # | 1871307561 |
| LBN Legal business name | HIGH COUNTRY BEHAVIORAL HEALTH |
| Authorized official | SHANNON NIZER - (CREDENTIALING SPECIALIST) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/04/2025 |
| Last updated | 05/04/2026 - About a month ago |
| Identifiers | n/a |
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