Organization
VIOLET MOUNTAIN LIFE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLORIA J. RYDER L.M.F.T. (FOUNDER)
(719) 201-5735
Entity
Organization
Contact information
Practice address
1353 S 8TH ST, SUITE 102, COLORADO SPRINGS, CO 80905-7320
(719) 201-5735
Mailing address
1353 S 8TH ST, SUITE 102, COLORADO SPRINGS, CO 80905-7320
(719) 201-5735
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0000390
CO
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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