Organization
COURAGE TO CHANGE RANCHES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH A MILLER (EXECUTIVE DIRECTOR)
(719) 541-4912
Entity
Organization
Contact information
Practice address
41250 ALFORD ROAD, SIMLA, CO 80835
(719) 541-4912
Mailing address
41250 ALFORD RD, SIMLA, CO 80835-9607
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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