Organization
CARMINA BLASKO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMINA BLASKO (OWNER)
(719) 650-3921
Entity
Organization
Contact information
Practice address
5585 ERINDALE DR, SUITE 201, COLORADO SPRINGS, CO 80918-6737
(719) 650-3921
Mailing address
6309 TENDERFOOT DR, COLORADO SPRINGS, CO 80923-7401
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
12348
CO
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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