Organization
CHILD COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE TALBOTT (EXECUTIVE DIRECTOR)
(719) 440-6445
Entity
Organization
Contact information
Practice address
2210 E LA SALLE ST # 108, COLORADO SPRINGS, CO 80909-2303
(719) 440-6445
Mailing address
2210 E LA SALLE ST STE 108, COLORADO SPRINGS, CO 80909-2303
(719) 440-6445
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000163300
—
CO
Enumeration date
01/22/2018
Last updated
10/28/2019
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