Organization
BRIDGE TO AWARENESS COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE DARR (DIRECTOR)
(719) 471-2514
Entity
Organization
Contact information
Practice address
5698 S HWY 85, SUITE 104, COLORADO SPRINGS, CO 80911-1465
(719) 390-4652
(719) 690-4126
Mailing address
5698 S HWY 85 # 87, SUITE 104 AND 105, COLORADO SPRINGS, CO 80911-1465
(719) 390-4652
(719) 390-5728
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1110-01
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39558258
—
CO
Enumeration date
12/09/2008
Last updated
09/28/2016
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