Organization
HAWTHORNE MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFREY KOSGEI NP (MANAGER)
(719) 502-7832
Entity
Organization
Contact information
Practice address
503 N MAIN ST STE 658, PUEBLO, CO 81003-3132
(719) 644-5573
Mailing address
7217 ALPINE DAISY DR, COLORADO SPRINGS, CO 80925-9611
(719) 502-7832
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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