| Profile Eap | |
|
1633 Medical Center Pt Colorado Springs CO 80907-8732 | |
| (719) 634-1825 | |
| (719) 634-1874 |
| Full Name | Profile Eap |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1633 Medical Center Pt, Colorado Springs, Colorado |
| Authorized Official Name and Position | William H. Bray (THERAPIST) |
| Authorized Official Contact | 7196351825 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Profile Eap 1633 Medical Center Pt Colorado Springs CO 80907-8732 Ph: (719) 634-1825 | Profile Eap 1633 Medical Center Pt Colorado Springs CO 80907-8732 Ph: (719) 634-1825 |
| NPI Number | 1023344454 |
|---|---|
| Provider Enumeration Date | 10/20/2009 |
| Last Update Date | 10/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023344454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 5267 (Colorado) | Primary |
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