Eagles Nest Retreat, Inc

NPI 1083854780 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1083854780
Enumeration Date 02/20/2009
Last Updated 02/20/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JOHN JOHN
Position EXECUTIVE DIRECTOR
Phone (719) 593-7754
Fax
Practice Location
6295 LEHMAN DR
SUITE 102
COLORADO SPRINGS CO, 80918-1473, US
Phone (719) 593-7754
Fax
Business Location
6295 LEHMAN DR
SUITE 102
COLORADO SPRINGS CO, 80918-1473, US
Phone (719) 593-7754
Fax
Toxanomy
Taxonomy Code 251S00000X
License State Colorado
License Number 3608
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According to our database, Eagles Nest Retreat, Inc NPI is 1083854780, taxonomy code is 251S00000X and license number is 3608, license state is located at Colorado. Eagles Nest Retreat, Inc physically located at 6295 Lehman Dr, Colorado Springs CO, 80918-1473. NPI Number 1033115704 has the healthcare provider type.

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1083854780 NPI number is provided on an as is basis without warranty of any kind. 1083854780 is maintained by the National Plan & Provider Enumeration System. The contents of Eagles Nest Retreat, Inc are for informational purposes only.