Organization
EL PASO COUNTY COMMUNITY DETOX FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IMAD KARAKI (SUPPORT SERVICES DIRECTOR)
(719) 520-6424
Entity
Organization
Contact information
Practice address
2723 E. LAS VEGAS ST., COLORADO SPRINGS, CO 80906
(719) 390-2046
(719) 390-2049
Mailing address
2723 E. LAS VEGAS ST., COLORADO SPRINGS, CO 80906
(719) 390-2046
(719) 390-2049
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1658-00
CO
Other
Enumeration date
09/19/2013
Last updated
09/23/2013
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