Provider First Line Business Practice Location Address:
EMBEDDED BEHAVIORAL HEALTH TEAM 3
Provider Second Line Business Practice Location Address:
1364 BARKELEY AVE. BLDG 1150
Provider Business Practice Location Address City Name:
FORT 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:
719-503-7836
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/13/2015