NPI 1275401796
Friends of Club 21
Practice location
- Address
- 301 Austin Bluffs Pkwy, Colorado Springs, CO 80918-3922
- Phone
- (360) 789-4935
- Mailing address
- 3472 Research Pkwy STE 104-405, Colorado Springs, CO 80920-1066
Authorised official
- Name
- Joseph Mason
- Title
- Chief Operating Officer
- Phone
- (360) 789-4935
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1275401796
- Entity type
- Organization
- NPI issued
- 27 Oct 2025
- Record last updated
- 27 Oct 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.