Organization
BEHAVIORAL HEALTH CENTER OF EXCELLENCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN D BALERIA APRN, BC, CNS, RXN (OWNER)
(719) 226-0659
Entity
Organization
Contact information
Practice address
2212 W COLORADO AVE, COLORADO SPRINGS, CO 80904-3325
(719) 226-0659
(719) 226-0753
Mailing address
2212 W COLORADO AVE, COLORADO SPRINGS, CO 80904-3325
(719) 226-0659
(719) 226-0753
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
81050
CO
Other
Enumeration date
10/16/2006
Last updated
01/27/2011
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