| Palome Child And Family Specialists Llc | |
|
510 W. Midland Ave. Woodland Park CO 80863 | |
| (719) 565-8423 | |
| (719) 635-9946 |
| Full Name | Palome Child And Family Specialists Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 510 W. Midland Ave., Woodland Park, Colorado |
| Authorized Official Name and Position | Laura E Olson (OWNER) |
| Authorized Official Contact | 7196518928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palome Child And Family Specialists Llc 5265 N Academy Blvd Ste 1800 Colorado Springs CO 80918-4061 Ph: (719) 571-9950 | Palome Child And Family Specialists Llc 510 W. Midland Ave. Woodland Park CO 80863 Ph: (719) 565-8423 |
| NPI Number | 1245010404 |
|---|---|
| Provider Enumeration Date | 10/04/2023 |
| Last Update Date | 10/06/2023 |
| Certification Date | 10/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245010404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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