| Eagles Nest Retreat, Inc | |
|
6295 Lehman Dr Suite 102 Colorado Springs CO 80918-1473 | |
| (719) 593-7754 | |
| Not Available |
| Full Name | Eagles Nest Retreat, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6295 Lehman Dr, Colorado Springs, Colorado |
| Authorized Official Name and Position | John Gowins (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7195937754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagles Nest Retreat, Inc 6295 Lehman Dr Suite 102 Colorado Springs CO 80918-1473 Ph: (719) 593-7754 | Eagles Nest Retreat, Inc 6295 Lehman Dr Suite 102 Colorado Springs CO 80918-1473 Ph: (719) 593-7754 |
| NPI Number | 1083854780 |
|---|---|
| Provider Enumeration Date | 02/20/2009 |
| Last Update Date | 02/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083854780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3608 (Colorado) | Primary |
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