| Profile Eap | |
|
1633 Medical Center Pt Ste 253 Colorado Springs CO 80907-8717 | |
| (719) 634-1825 | |
| Not Available |
| Full Name | Profile Eap |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1633 Medical Center Pt Ste 253, Colorado Springs, Colorado |
| Authorized Official Name and Position | Sue Garcia (CLINICAL SERVICES NETWORK COORDINAT) |
| Authorized Official Contact | 7196341825 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Profile Eap 1633 Medical Center Pt Ste 253 Colorado Springs CO 80907-8717 Ph: (719) 634-1825 | Profile Eap 1633 Medical Center Pt Ste 253 Colorado Springs CO 80907-8717 Ph: (719) 634-1825 |
| NPI Number | 1942536396 |
|---|---|
| Provider Enumeration Date | 10/20/2009 |
| Last Update Date | 10/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942536396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3794 (Colorado) | Primary |
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