| Violet Mountain Life Center, Inc. | |
|
1353 S 8th St Suite 102 Colorado Springs CO 80905-7320 | |
| (719) 201-5735 | |
| Not Available |
| Full Name | Violet Mountain Life Center, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1353 S 8th St, Colorado Springs, Colorado |
| Authorized Official Name and Position | Gloria J. Ryder (FOUNDER) |
| Authorized Official Contact | 7192015735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Violet Mountain Life Center, Inc. 1353 S 8th St Suite 102 Colorado Springs CO 80905-7320 Ph: (719) 201-5735 | Violet Mountain Life Center, Inc. 1353 S 8th St Suite 102 Colorado Springs CO 80905-7320 Ph: (719) 201-5735 |
| NPI Number | 1659815769 |
|---|---|
| Provider Enumeration Date | 12/08/2016 |
| Last Update Date | 12/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659815769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 0000390 (Colorado) | Primary |
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