Organization
COURAGE TO CHANGE RANCHES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDITH ANN MILLER PH.D. (CEO)
(719) 541-4912
Entity
Organization
Contact information
Practice address
41250 ALFORD RD, SIMLA, CO 80835-9607
(719) 541-4912
(719) 541-4911
Mailing address
41250 ALFORD RD, SIMLA, CO 80835-9607
(719) 541-4912
(719) 541-4911
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
ADAD 251S00000X
CO
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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