Organization
CENTERED LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL HOLT M.DIV. (BOARD PRESIDENT)
(719) 471-2500
Entity
Organization
Contact information
Practice address
420 N NEVADA AVE, COLORADO SPRINGS, CO 80903-1227
(719) 471-2500
Mailing address
PO BOX 788, COLORADO SPRINGS, CO 80901-0788
(719) 471-2500
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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