| Profile Eap | |
|
961 E Colorado Ave Colorado Springs CO 80903-3776 | |
| (719) 364-1825 | |
| (719) 634-1874 |
| Full Name | Profile Eap |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 961 E Colorado Ave, Colorado Springs, Colorado |
| Authorized Official Name and Position | Kevin M. Sonntag (MANAGER) |
| Authorized Official Contact | 7196341825 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Profile Eap 961 E Colorado Ave Colorado Springs CO 80903-3776 Ph: (719) 364-1825 | Profile Eap 961 E Colorado Ave Colorado Springs CO 80903-3776 Ph: (719) 364-1825 |
| NPI Number | 1376690875 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 11/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376690875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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