Organization
THE JUNIPER CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HOUGH PHD (PRESIDENT)
(719) 448-9466
Entity
Organization
Contact information
Practice address
916 N WEBER ST, COLORADO SPRINGS, CO 80903-2921
(719) 448-9466
(719) 448-9467
Mailing address
916 N WEBER ST, COLORADO SPRINGS, CO 80903-2921
(719) 448-9466
(719) 448-9467
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/26/2007
Last updated
08/22/2020
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