| Family Support Center Of Colorado, Llc | |
|
1330 Quail Lake Loop Ste 200 Colorado Springs CO 80906-4651 | |
| (719) 540-2108 | |
| (719) 540-2101 |
| Full Name | Family Support Center Of Colorado, Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1330 Quail Lake Loop Ste 200, Colorado Springs, Colorado |
| Authorized Official Name and Position | Sherie Terranova (OPERATIONS DIRECTOR) |
| Authorized Official Contact | 7195402152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Support Center Of Colorado, Llc 1330 Quail Lake Loop Ste 200 Colorado Springs CO 80906-4651 Ph: (719) 540-2108 | Family Support Center Of Colorado, Llc 1330 Quail Lake Loop Ste 200 Colorado Springs CO 80906-4651 Ph: (719) 540-2108 |
| NPI Number | 1134733512 |
|---|---|
| Provider Enumeration Date | 09/03/2020 |
| Last Update Date | 09/03/2020 |
| Certification Date | 09/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134733512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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