Organization
CENTURA VENTURES, LLC
Active
Other names
Colorado Sport and Spine Centers
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SKINNER (OMA ADMINISTRATOR)
(303) 673-7175
Entity
Organization
Contact information
Practice address
6011 E WOODMEN RD, SUITE 100, COLORADO SPRINGS, CO 80923-2602
(719) 571-8888
(719) 571-8889
Mailing address
PO BOX 912430, DENVER, CO 80291-2430
(303) 643-1099
(303) 643-1176
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23402083
—
CO
05
—
55131352
—
CO
05
—
97572888
—
CO
Enumeration date
02/10/2015
Last updated
04/28/2016
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