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Organization

KIDS CROSSING

Active
Parent organization
KIDS CROSSING
Other names
Mind Reneural
Organization subpart
Yes

Provider details

NPI number
Legal business name
KIDS CROSSING
Authorized official
HILARY BRIDGES LPC (ASSISTANT EXECUTIVE DIRECTOR)
(719) 667-7063
Entity
Organization

Contact information

Practice address
5040 CORPORATE PLAZA DR STE 7E, COLORADO SPRINGS, CO 80919-6100
(719) 249-7896
Mailing address
1440 E FOUNTAIN BLVD, COLORADO SPRINGS, CO 80910-3502
(719) 632-4569

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000176191
CO
Enumeration date
04/15/2021
Last updated
04/15/2021
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