Organization
CHILD ATTACHMENT AND RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK CHANDLER BEAL M.S.W., L.C.S.W. (CLINICAL DIRECTOR)
(719) 338-3537
Entity
Organization
Contact information
Practice address
2150 ACADEMY CIR, SUITE C, COLORADO SPRINGS, CO 80909-1693
(719) 338-3537
(719) 358-8248
Mailing address
2150 ACADEMY CIR, SUITE C, COLORADO SPRINGS, CO 80909-1693
(719) 338-3537
(719) 358-8248
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
638171
—
CO
Enumeration date
07/16/2007
Last updated
07/21/2013
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