Organization
THE INTEGRATED TREATMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA L ROOKS (PARTNER)
(719) 210-3011
Entity
Organization
Contact information
Practice address
2107 TEMPLETON GAP RD, STE G, COLORADO SPRINGS, CO 80907-7100
(719) 210-3011
Mailing address
2107 TEMPLETON GAP RD, STE G, COLORADO SPRINGS, CO 80907-7100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
03/21/2008
Last updated
03/21/2008
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