| Vcphcs Xii, Llc | |
|
4157 Centennial Blvd Colorado Springs CO 80907-3767 | |
| (719) 598-9750 | |
| Not Available |
| Full Name | Vcphcs Xii, Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 4157 Centennial Blvd, Colorado Springs, Colorado |
| Authorized Official Name and Position | Jay Higham (CEO) |
| Authorized Official Contact | 2143656112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vcphcs Xii, Llc 5001 Spring Valley Road Suite 600 East Dallas TX 75244 Ph: (512) 966-1235 | Vcphcs Xii, Llc 4157 Centennial Blvd Colorado Springs CO 80907-3767 Ph: (719) 598-9750 |
| NPI Number | 1407575111 |
|---|---|
| Provider Enumeration Date | 08/25/2022 |
| Last Update Date | 08/25/2022 |
| Certification Date | 08/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407575111 | NPI | - | NPPES |
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