Whalio Doctors

NPI 1235973660

Brad's House Mesa Ridge LLC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Colorado Springs, CO

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
Residential Treatment Facilities Taxonomy 322D00000X

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.