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Organization

COLORADO VETERANS HEALTH AND WELLNESS AGENCY

Active
Parent organization
FAMILY CARE CENTER, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
FAMILY CARE CENTER, LLC
Authorized official
DR. CHARLES WEBER D.O. (PRESIDENT)
(719) 540-2100
Entity
Organization

Contact information

Practice address
1330 QUAIL LAKE LOOP, SUITE 260, COLORADO SPRINGS, CO 80906-4651
(719) 540-2100
Mailing address
1330 QUAIL LAKE LOOP, SUITE 260, COLORADO SPRINGS, CO 80906-4651
(719) 540-2100

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0053911
CO

Other

Enumeration date
07/05/2016
Last updated
07/05/2016
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