Organization
MARRIAGE AND FAMILY TREATMENT CENTER
Active
Other names
Penrose St. Francis
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE GEORGE BUSCARELLO LPC (PSYCHOTHERAPIST)
(719) 520-1711
Entity
Organization
Contact information
Practice address
218 E CACHE LA POUDRE ST, COLORADO SPRINGS, CO 80903-2903
(719) 520-1711
(719) 520-0236
Mailing address
218 E CACHE LA POUDRE ST, COLORADO SPRINGS, CO 80903-2903
(719) 520-1711
(719) 520-0236
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
263
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070498
—
CO
Enumeration date
01/30/2007
Last updated
08/22/2020
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