Organization
GOSPEL HOMES FOR WOMEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILYN VYZOUREK (PRESIDENT)
(719) 291-3406
Entity
Organization
Contact information
Practice address
3608 MEADOWLAND BLVD, COLORADO SPRINGS, CO 80918-4532
(719) 291-3406
Mailing address
30 LAWRENCE AVE, COLORADO SPRINGS, CO 80909-6019
(719) 291-3406
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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