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Organization
DEPARTMENT OF DEFENSE
Active
Organization
DEPARTMENT OF DEFENSE
Active
Other names
Evans Army Community Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELSA U LONGRES LCSW, LCDC (SUBSTANCE ABUSE COUNSELOR)
(719) 526-2862
Entity
Organization
Contact information
Practice address
1650 COCHRANE CIR, FT CARSON, CO 80913-4603
(719) 526-2862
(719) 526-0608
Mailing address
3863 JOSEPHINE HTS, COLORADO SPRINGS, CO 80906-5080
(719) 526-2862
(719) 526-0608
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
28781
TX
Other
Enumeration date
03/03/2006
Last updated
07/18/2008
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