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Organization

PEER COACH ACADEMY COLORADO

Active
Parent organization
PEER COACH ACADEMY COLORADO
Other names
Embark PCA
Organization subpart
Yes

Provider details

NPI number
Legal business name
PEER COACH ACADEMY COLORADO
Authorized official
ROD E RUSHING CACIII (DIRECTOR)
(720) 435-5320
Entity
Organization

Contact information

Practice address
411 S CASCADE AVE STE 100, COLORADO SPRINGS, CO 80903-3811
(800) 604-8978
Mailing address
411 S CASCADE AVE STE 100, COLORADO SPRINGS, CO 80903-3811
(800) 604-8978

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
251S00000X
Community/Behavioral Health Agency
Primary
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
363LA2200X
Adult Health Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1417288804
CO
Enumeration date
08/18/2020
Last updated
06/10/2026
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