Organization
COURAGE TO CHANGE
Active
Other names
Soaring hope
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH ANN MILLER PHD, CAC III (FOUNDER, PRESIDENT)
(719) 393-3961
Entity
Organization
Contact information
Practice address
3470 BRIARGATE BLVD, COLORADO SPRINGS, CO 80920-4168
(719) 896-5163
Mailing address
3470 BRIARGATE BLVD, COLORADO SPRINGS, CO 80920-4168
(719) 896-5163
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1621
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548496086
NPI
CO
Enumeration date
01/12/2017
Last updated
01/12/2017
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