Organization
DEFY GRAVITY
Active
Other names
Colorado Family Guidance
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY PHILIA LPC (OWNER)
(719) 371-3203
Entity
Organization
Contact information
Practice address
215 MAPLE ST, FLORENCE, CO 81226-1443
(719) 371-3203
Mailing address
215 MAPLE ST, FLORENCE, CO 81226-1443
(719) 371-3203
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/10/2020
Last updated
08/13/2020
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