Organization
PEER COACH ACADEMY COLORADO
Active
Parent organization
PEER COACH ACADEMY RENAISSANCE
Other names
Embark PCA Renaissance
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEER COACH ACADEMY RENAISSANCE
Authorized official
DAVID DELSIGNORE ALR ADMINISTRATOR (ADMINISTRATOR)
(719) 581-0857
Entity
Organization
Contact information
Practice address
2509 N CASCADE AVE, COLORADO SPRINGS, CO 80907-6742
(719) 581-0857
Mailing address
2509 N CASCADE AVE, COLORADO SPRINGS, CO 80907-6742
(719) 581-0857
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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