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Organization
CHILD AND ADOLESCENT CLINIC P.C.
Active
Organization
CHILD AND ADOLESCENT CLINIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY M. UNRUH LCSW (OWNER)
(719) 481-8618
Entity
Organization
Contact information
Practice address
7870 N ACADEMY BLVD, COLORADO SPRINGS, CO 80920-3920
(719) 481-8618
(719) 599-0045
Mailing address
7870 N ACADEMY BLVD, COLORADO SPRINGS, CO 80920-3920
(719) 481-8618
(719) 599-0045
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/16/2007
Last updated
08/22/2020
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