| Middle Ground | |
|
1335 Phay Ave Suite E Canon City CO 81212-2334 | |
| (719) 250-6526 | |
| Not Available |
| Full Name | Middle Ground |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1335 Phay Ave, Canon City, Colorado |
| Authorized Official Name and Position | Charles L Lentz (OWNER) |
| Authorized Official Contact | 7192506526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Middle Ground 1335 Phay Ave Suite E Canon City CO 81212-2334 Ph: (719) 250-6526 | Middle Ground 1335 Phay Ave Suite E Canon City CO 81212-2334 Ph: (719) 250-6526 |
| NPI Number | 1669791547 |
|---|---|
| Provider Enumeration Date | 05/18/2010 |
| Last Update Date | 05/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669791547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2529 (Colorado) | Primary |
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