| Parenting Center, Llc | |
|
524 N Tejon St Suite 3 - Upstairs Colorado Springs CO 80903-4926 | |
| (719) 201-0887 | |
| (480) 275-3789 |
| Full Name | Parenting Center, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 524 N Tejon St, Colorado Springs, Colorado |
| Authorized Official Name and Position | Janice Elizabeth Black (LCSW) |
| Authorized Official Contact | 7192010887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parenting Center, Llc 524 N Tejon St Suite 3 Colorado Springs CO 80903-4926 Ph: (719) 201-0887 | Parenting Center, Llc 524 N Tejon St Suite 3 - Upstairs Colorado Springs CO 80903-4926 Ph: (719) 201-0887 |
| NPI Number | 1043622756 |
|---|---|
| Provider Enumeration Date | 05/29/2014 |
| Last Update Date | 05/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043622756 | NPI | - | NPPES |
| 39383075 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CSW.09923269 (Colorado) | Primary |
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