Organization
PRIME FITNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
M MARK WEXLER PHD (CLINICAL PSYCHOLOGIST)
(719) 641-6275
Entity
Organization
Contact information
Practice address
2212 W COLORADO AVE, COLORADO SPRINGS, CO 80904-3325
(719) 226-0659
(719) 226-0753
Mailing address
2212 W COLORADO AVE, COLORADO SPRINGS, CO 80904-3325
(719) 226-0659
(719) 226-0753
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1863
CO
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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