Organization
CENTURA VENTURES, LLC
Active
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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