Organization
BRADS HOUSE MONUMENT
Active
Other names
Brad's House
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK HAGGARD (BILLING MANAGER)
(719) 204-4548
Entity
Organization
Contact information
Practice address
2810 HUNTERS GLEN RD, MONUMENT, CO 80132-9704
(719) 639-3776
Mailing address
14960 WOODCARVER RD # 106, COLORADO SPRINGS, CO 80921-2370
(719) 639-3776
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/14/2021
Last updated
08/05/2024
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