| Elk Meadow Enduring Connections, Inc. | |
|
685 Citadel Dr E Ste 510 Colorado Springs CO 80909-5372 | |
| (303) 808-8466 | |
| Not Available |
| Full Name | Elk Meadow Enduring Connections, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 685 Citadel Dr E Ste 510, Colorado Springs, Colorado |
| Authorized Official Name and Position | Mita M Johnson (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3038088466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elk Meadow Enduring Connections, Inc. Po Box 62359 Colorado Springs CO 80962-2359 Ph: (303) 808-8466 | Elk Meadow Enduring Connections, Inc. 685 Citadel Dr E Ste 510 Colorado Springs CO 80909-5372 Ph: (303) 808-8466 |
| NPI Number | 1457191769 |
|---|---|
| Provider Enumeration Date | 05/27/2024 |
| Last Update Date | 05/27/2024 |
| Certification Date | 05/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457191769 | NPI | - | NPPES |
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