Organization
TRAILHEAD FAMILY AND LIFE SKILLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANIAL FRIESEN (CEO/OWNER)
(719) 323-3349
Entity
Organization
Contact information
Practice address
512 N INSTITUTE ST, COLORADO SPRINGS, CO 80903-3142
(719) 323-3349
Mailing address
512 N INSTITUTE ST, COLORADO SPRINGS, CO 80903-3142
(719) 323-3349
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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