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Organization

DASTRUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BRANDIE HARRISON (CEO)
(719) 964-1766
Entity
Organization

Contact information

Practice address
424 W KIOWA ST, COLORADO SPRINGS, CO 80905-1438
(719) 964-1766
Mailing address
424 W KIOWA ST, COLORADO SPRINGS, CO 80905-1438
(719) 964-1766

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
343900000X
Non-emergency Medical Transport (VAN)
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care

Other

Enumeration date
07/22/2022
Last updated
05/26/2025
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