# RUGGED CROSS MIRACLE RANCH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295250900
- **Authorized official:** DEBORAH L DEWITT LMFT (VICE PRESIDENT)
- **Authorized official phone:** (719) 327-0656

## Contact information

- **Practice address:** 13990 WINDY PINE DR, ELBERT, CO 80106
- **Practice address phone:** (719) 327-0656
- **Practice address fax:** (719) 327-0657
- **Mailing address:** 13990 WINDY PINE DR, ELBERT, CO 80106-8874
- **Mailing address phone:** (719) 327-0656
- **Mailing address fax:** (719) 327-0657

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 1076 | CO | Yes |

## Other

- **Enumeration date:** 08/03/2017
- **Last updated:** 11/20/2023
