| Kids Crossing | |
|
414 Broadway Ave Pueblo CO 81004-2128 | |
| (719) 545-3382 | |
| (719) 632-6573 |
| Full Name | Kids Crossing |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 414 Broadway Ave, Pueblo, Colorado |
| Authorized Official Name and Position | William Lee Oesterle (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7195106659 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Crossing 1440 E Fountain Blvd Colorado Springs CO 80910-3502 Ph: (719) 632-4569 | Kids Crossing 414 Broadway Ave Pueblo CO 81004-2128 Ph: (719) 545-3382 |
| NPI Number | 1154831105 |
|---|---|
| Provider Enumeration Date | 10/04/2017 |
| Last Update Date | 10/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154831105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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