NPI 1235973660
Brad's House Mesa Ridge LLC
Practice location
- Address
- 646 Dexter St, Colorado Springs, CO 80911-2542
- Phone
- (719) 204-4548
- Mailing address
- 14960 Woodcarver Rd, Colorado Springs, CO 80921-2370
Authorised official
- Name
- Patrick Haggard
- Title
- Billing Manager
- Phone
- (719) 641-6051
Registered specialties
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
Registry record
- NPI
- 1235973660
- Entity type
- Organization
- NPI issued
- 20 Jun 2024
- Record last updated
- 25 Apr 2025
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.