Organization
BRAD'S HOUSE MESA RIDGE LLC
Active
Other names
Brads House Mesa Ridge
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK HAGGARD (BILLING DIRECTOR)
(719) 641-7051
Entity
Organization
Contact information
Practice address
646 DEXTER ST, COLORADO SPRINGS, CO 80911-2542
(719) 641-7051
Mailing address
14960 WOODCARVER RD, COLORADO SPRINGS, CO 80921-2370
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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