Organization
INTEGRATING SUPPORTS COLORADO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTELLE ROCKMAN (EXECUTIVE DIRECTOR)
(719) 313-0626
Entity
Organization
Contact information
Practice address
4294 GRAY FOX HTS, COLORADO SPRINGS, CO 80922
(719) 313-0626
(720) 222-5216
Mailing address
4294 GRAY FOX HTS, COLORADO SPRINGS, CO 80922
(719) 313-0626
(720) 222-5216
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/12/2019
Last updated
02/24/2022
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