Organization
SOARING EAGLES CENTER FOR AUTISM
Active
Parent organization
SOARING EAGLES CENTER FOR AUTISM
Other names
SECA HCBS SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOARING EAGLES CENTER FOR AUTISM
Authorized official
KAREN W. COLVIN MD (EXECUTIVE DIRECTOR)
(719) 547-8803
Entity
Organization
Contact information
Practice address
125 W PALMER LAKE DR, PUEBLO WEST, CO 81007-2876
(719) 547-8803
(719) 547-8806
Mailing address
PO BOX 7878, PUEBLO WEST, CO 81007-0878
(719) 547-8803
(719) 547-8806
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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