| Vcphcs Xii, Llc | |
|
4157-4159 Centennial Blvd Colorado Springs CO 80907 | |
| (214) 365-6126 | |
| (214) 365-6150 |
| Full Name | Vcphcs Xii, Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 4157-4159 Centennial Blvd, Colorado Springs, Colorado |
| Authorized Official Name and Position | Jemece Michelle Gasaway (DIRECTOR OF LICENSING) |
| Authorized Official Contact | 2143656126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vcphcs Xii, Llc 5001 Spring Valley Rd Ste 600e Dallas TX 75244-8217 Ph: (214) 365-6100 | Vcphcs Xii, Llc 4157-4159 Centennial Blvd Colorado Springs CO 80907 Ph: (214) 365-6126 |
| NPI Number | 1669020160 |
|---|---|
| Provider Enumeration Date | 08/28/2019 |
| Last Update Date | 08/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669020160 | NPI | - | NPPES |
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