Provider First Line Business Practice Location Address:
825 E PIKES PEAK AVE
Provider Second Line Business Practice Location Address:
BEHAVIORAL HEALTH DEPT.
Provider Business Practice Location Address City Name:
COLORADO SPRINGS
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80903-3624
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
719-776-8482
Provider Business Practice Location Address Fax Number:
719-776-8568
Provider Enumeration Date:
02/18/2009