NPI 1053074351
Brads House Monument
Practice location
- Address
- 2810 Hunters Glen Rd, Monument, CO 80132-9704
- Phone
- (719) 639-3776
- Mailing address
- 14960 Woodcarver Rd # 106, Colorado Springs, CO 80921-2370
Authorised official
- Name
- Patrick Haggard
- Title
- Billing Manager
- Phone
- (719) 204-4548
Registered specialties (2)
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
Mental Illness Community Based Residential Treatment Facility
Registry record
- NPI
- 1053074351
- Entity type
- Organization
- NPI issued
- 14 Oct 2021
- Record last updated
- 5 Aug 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.