# BRADS HOUSE MONUMENT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brad's House
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053074351
- **Authorized official:** PATRICK HAGGARD (BILLING MANAGER)
- **Authorized official phone:** (719) 204-4548

## Contact information

- **Practice address:** 2810 HUNTERS GLEN RD, MONUMENT, CO 80132-9704
- **Practice address phone:** (719) 639-3776
- **Mailing address:** 14960 WOODCARVER RD \# 106, COLORADO SPRINGS, CO 80921-2370
- **Mailing address phone:** (719) 639-3776

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | — | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 10/14/2021
- **Last updated:** 08/05/2024