| Crisalida, Inc | |
|
4180 Center Park Dr Colorado Springs CO 80916-4505 | |
| (719) 418-9705 | |
| Not Available |
| Full Name | Crisalida, Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4180 Center Park Dr, Colorado Springs, Colorado |
| Authorized Official Name and Position | Glory Mcdaniel (FOUNDER/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 1941897057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crisalida, Inc Po Box 534 Peyton CO 80831-0534 Ph: (719) 418-9705 | Crisalida, Inc 4180 Center Park Dr Colorado Springs CO 80916-4505 Ph: (719) 418-9705 |
| NPI Number | 1841991353 |
|---|---|
| Provider Enumeration Date | 03/13/2023 |
| Last Update Date | 09/06/2023 |
| Certification Date | 03/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841991353 | NPI | - | NPPES |
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