| Defy Gravity | |
|
215 Maple St Florence CO 81226-1443 | |
| (719) 371-3203 | |
| Not Available |
| Full Name | Defy Gravity |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 215 Maple St, Florence, Colorado |
| Authorized Official Name and Position | Kimberly Philia (OWNER) |
| Authorized Official Contact | 7193713203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Defy Gravity 215 Maple St Florence CO 81226-1443 Ph: (719) 371-3203 | Defy Gravity 215 Maple St Florence CO 81226-1443 Ph: (719) 371-3203 |
| NPI Number | 1659982197 |
|---|---|
| Provider Enumeration Date | 08/10/2020 |
| Last Update Date | 08/13/2020 |
| Certification Date | 08/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659982197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Desert Waters Correctional Outreach Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 431 E Main St, Florence, CO 81226 Phone: 719-784-4727 Fax: 719-784-2214 |