Organization
FOUNDATION FOR SUCCESSFUL LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA HARRIS (EXECUTIVE DIRECTOR)
(719) 227-3939
Entity
Organization
Contact information
Practice address
1879 AUSTIN BLUFFS PKWY, COLORADO SPRINGS, CO 80918-7857
(719) 216-6482
Mailing address
1879 AUSTIN BLUFFS PKWY, COLORADO SPRINGS, CO 80918-7857
(719) 216-6482
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
04T233
CO
376J00000X
Homemaker
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
04T233
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39852571
—
CO
Enumeration date
10/31/2011
Last updated
10/02/2018
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