Individual
BRANDIE HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1270 BEACON HILL WAY, COLORADO SPRINGS, CO 80905-8107
(719) 964-1766
Mailing address
1270 BEACON HILL WAY, COLORADO SPRINGS, CO 80905-8107
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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