Organization
HOPE COS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE KNOWLES (DIRECTOR OF PROGRAMS)
(720) 501-8852
Entity
Organization
Contact information
Practice address
1647 S NEVADA AVE, COLORADO SPRINGS, CO 80905-2221
(719) 425-9417
Mailing address
1647 S NEVADA AVE, COLORADO SPRINGS, CO 80905-2221
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/19/2024
Last updated
06/26/2024
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