Organization
ACCENT ON LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRI GORMAN LCSW (SOLE PROPRIETOR)
(719) 784-7522
Entity
Organization
Contact information
Practice address
1335 PHAY AVE, SUITE H, CANON CITY, CO 81212-2334
(719) 784-7522
(719) 269-1730
Mailing address
PO BOX 681, PENROSE, CO 81240-0681
(719) 784-7522
(719) 269-1730
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
993001
CO
Other
Enumeration date
02/10/2011
Last updated
02/10/2011
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