Organization
RUGGED CROSS MIRACLE RANCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH L DEWITT LMFT (VICE PRESIDENT)
(719) 327-0656
Entity
Organization
Contact information
Practice address
13990 WINDY PINE DR, ELBERT, CO 80106
(719) 327-0656
(719) 327-0657
Mailing address
13990 WINDY PINE DR, ELBERT, CO 80106-8874
(719) 327-0656
(719) 327-0657
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1076
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000000
DO NOT HAVE ANY ADDITIONAL PROVIDER ID'S
—
Enumeration date
08/03/2017
Last updated
11/20/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us