Organization
FRIENDLY HARBOR
Active
Other names
Friendly Harbor Community Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELISSA BALL MD (VOLUNTEER EXECUTIVE DIRECTOR)
(719) 214-6081
Entity
Organization
Contact information
Practice address
2713 N GRAND AVE, PUEBLO, CO 81003-2453
(719) 545-2564
Mailing address
2713 N GRAND AVE, PUEBLO, CO 81003-2453
(719) 545-2564
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/21/2020
Last updated
04/02/2020
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