Organization
MUSIC THERAPY ROCKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE JACKSON CNMT (MUSIC THERAPIST)
(719) 360-8420
Entity
Organization
Contact information
Practice address
32 WASHINGTON ST, MONUMENT, CO 80132-9179
(719) 360-8420
Mailing address
PO BOX 1205, MONUMENT, CO 80132-1205
(719) 360-8420
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
302F00000X
Exclusive Provider Organization
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20181078
—
CO
Enumeration date
12/31/2015
Last updated
12/31/2015
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