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Organization
BRAD'S HOUSE MESA RIDGE LLC
Active
Organization
BRAD'S HOUSE MESA RIDGE LLC
Active
Other names
Brads House Mesa Ridge
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK HAGGARD (BILLING DIRECTOR)
(719) 641-7051
Entity
Organization
Contact information
Practice address
646 DEXTER ST, COLORADO SPRINGS, CO 80911-2542
(719) 641-7051
Mailing address
14960 WOODCARVER RD, COLORADO SPRINGS, CO 80921-2370
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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