| Itza Corazon Community Services Ll | |
|
5962 Mumford Dr Colorado Springs CO 80925-8473 | |
| (710) 500-6009 | |
| Not Available |
| Full Name | Itza Corazon Community Services Ll |
|---|---|
| Speciality | Counselor |
| Location | 5962 Mumford Dr, Colorado Springs, Colorado |
| Authorized Official Name and Position | Pedro F Riddell (CEO/THERAPIST) |
| Authorized Official Contact | 5307869882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Itza Corazon Community Services Ll 5962 Mumford Dr Colorado Springs CO 80925-8473 Ph: (710) 500-6009 | Itza Corazon Community Services Ll 5962 Mumford Dr Colorado Springs CO 80925-8473 Ph: (710) 500-6009 |
| NPI Number | 1942029459 |
|---|---|
| Provider Enumeration Date | 10/10/2024 |
| Last Update Date | 10/10/2024 |
| Certification Date | 10/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942029459 | NPI | - | NPPES |
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