Organization
CHILD AND ADOLESCENT CLINIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY M. UNRUH LCSW (OWNER)
(719) 481-8618
Entity
Organization
Contact information
Practice address
7870 N ACADEMY BLVD, COLORADO SPRINGS, CO 80920-3920
(719) 481-8618
(719) 599-0045
Mailing address
7870 N ACADEMY BLVD, COLORADO SPRINGS, CO 80920-3920
(719) 481-8618
(719) 599-0045
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/16/2007
Last updated
08/22/2020
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