Provider First Line Business Practice Location Address:
EVANS ARMY COMMUNITY HOSPITAL
Provider Second Line Business Practice Location Address:
EMBEDDED BEHAVIORAL HEALTH TEAM 5, BLDG 1226
Provider Business Practice Location Address City Name:
FT. CARSON
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:
719-503-7701
Provider Business Practice Location Address Fax Number:
719-526-8770
Provider Enumeration Date:
07/26/2006