Provider First Line Business Practice Location Address:
1680 FELKINS STREET, EMBEDDED BEHAVIORAL HEALTH TEAM 5
Provider Second Line Business Practice Location Address:
BLDG. 1226
Provider Business Practice Location Address City Name:
COLORADO SPRINGS
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80913
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
719-503-7709
Provider Business Practice Location Address Fax Number:
719-526-8770
Provider Enumeration Date:
01/11/2007