Organization
KAIROS FAMILY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN DENISE PURYEAR LCSW (EXECUTIVE DIRECTOR)
(719) 238-7908
Entity
Organization
Contact information
Practice address
7660 GODDARD ST STE 258, COLORADO SPRINGS, CO 80920-8237
(209) 304-3444
Mailing address
13170 CRANE CANYON LOOP, COLORADO SPRINGS, CO 80921-7222
(719) 238-7908
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/03/2017
Last updated
10/30/2018
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