OrganizationActive
Peaceful Spirit/Sucap
NPI 1104069764 · Substance Abuse Rehabilitation Facility · Ignacio, CO
Provider details
- NPI number
- 1104069764
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Dennis Dahlke, Program Director(970) 563-4555
- License
- 1390 (CO)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
296 Mouache Drive
Ignacio, CO 81137-0429
Phone: (970) 563-4555
Fax: (970) 563-4618
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 429
Ignacio, CO 81137-0429
Registry dates
- Enumerated
- 2009-04-13
- Last updated
- 2009-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.