Organization
REHAB FOR ALL GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON PICKERILL (OWNER)
(719) 644-1119
Entity
Organization
Contact information
Practice address
16270 FOREST LIGHT DR, COLORADO SPRINGS, CO 80908-2074
(719) 644-1119
Mailing address
16270 FOREST LIGHT DR, COLORADO SPRINGS, CO 80908-2074
(719) 644-1119
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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