| Gold Phoenix, Inc | |
|
2107 Templeton Gap Rd Ste G Colorado Springs CO 80907-7100 | |
| (719) 210-3011 | |
| Not Available |
| Full Name | Gold Phoenix, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2107 Templeton Gap Rd, Colorado Springs, Colorado |
| Authorized Official Name and Position | Sandra Rooks (CEO) |
| Authorized Official Contact | 7192103011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gold Phoenix, Inc Po Box 88347 Colorado Springs CO 80908-8347 Ph: (719) 210-3011 | Gold Phoenix, Inc 2107 Templeton Gap Rd Ste G Colorado Springs CO 80907-7100 Ph: (719) 210-3011 |
| NPI Number | 1962645994 |
|---|---|
| Provider Enumeration Date | 04/07/2009 |
| Last Update Date | 04/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962645994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 714 (Colorado) | Primary |
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