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Organization
FORGE EVOLUTION
Active
Organization
FORGE EVOLUTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE HORTON (EXECUTIVE DIRECTOR)
(719) 475-7518
Entity
Organization
Contact information
Practice address
224 E KIOWA ST, COLORADO SPRINGS, CO 80903-1707
(719) 475-7815
Mailing address
224 E KIOWA ST, COLORADO SPRINGS, CO 80903-1707
(719) 475-7815
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
405300000X
Prevention Professional
—
NULL
405300000X
Prevention Professional
—
—
Other
Enumeration date
02/07/2023
Last updated
08/25/2026
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