Organization
YOUR CHOICE RESIDENTIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JAMES DRYDEN BAS (COO)
(952) 913-7069
Entity
Organization
Contact information
Practice address
2259 FALKIRK DR, COLORADO SPRINGS, CO 80910-3266
(308) 389-1227
Mailing address
2259 FALKIRK DR., COLORADO SPRINGS, CO 80910-3266
(308) 389-1227
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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