Organization
MILESTONE PSYCHIATRY INC.
Active
Parent organization
MILESTONE PSYCHIATRY INC.
Other names
Milestone Psychiatry Pueblo
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILESTONE PSYCHIATRY INC.
Authorized official
DANIELLE JOHNS (OFFICE MANAGER)
(719) 465-4819
Entity
Organization
Contact information
Practice address
208 W 8TH ST, PUEBLO, CO 81003-3023
(719) 696-9149
Mailing address
5615 CONSTITUTION AVE, COLORADO SPRINGS, CO 80915-1218
(719) 465-2819
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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