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Organization

CHILD COMMUNITY SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINE TALBOTT (CHIEF EXECUTIVE OFFICER)
(719) 641-6723
Entity
Organization

Contact information

Practice address
2210 E LA SALLE ST STE 108, COLORADO SPRINGS, CO 80909-2358
(719) 440-6445
(719) 374-5907
Mailing address
2210 E LA SALLE ST STE 108, COLORADO SPRINGS, CO 80909-2358
(719) 440-6445
(719) 374-5907

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
251B00000X
Case Management Agency
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
01/08/2021
Last updated
01/08/2021
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