Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shadow Mountain LLC

Organization Substance Abuse Rehabilitation Facility · NPI 1164896197

Shadow Mountain LLC is a Substance Abuse Rehabilitation Facility in Colorado Springs, Colorado. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2102 University Park Blvd
Colorado Springs, CO 80918
Phone: (719) 266-8876
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X

Record details

NPI number1164896197
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jackie Holub — Vice President · (925) 389-8591
Other names Shadow Mountain Recovery, University Park
NPI enumeratedNovember 13, 2015
Last updated in NPPESApril 27, 2017
Mailing addressPo Box 830525, Dpeartment # Sf 59, Birmingham, AL 35283-0525

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