| Special Kids Special Families | |
|
424 W Pikes Peak Ave Colorado Springs CO 80905-1525 | |
| (719) 447-8983 | |
| (719) 447-9482 |
| Full Name | Special Kids Special Families |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 424 W Pikes Peak Ave, Colorado Springs, Colorado |
| Authorized Official Name and Position | Linda K Ellegard (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7194478983 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Special Kids Special Families 3830 Stetson Ct Colorado Springs CO 80907-4906 Ph: (720) 988-9511 | Special Kids Special Families 424 W Pikes Peak Ave Colorado Springs CO 80905-1525 Ph: (719) 447-8983 |
| NPI Number | 1013402387 |
|---|---|
| Provider Enumeration Date | 06/28/2018 |
| Last Update Date | 06/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013402387 | NPI | - | NPPES |
| 1629515507 | Medicaid | CO | |
| 92608264 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (Colorado) | Primary |
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