NPI 1437632940
Common Roots LLC
Practice location
- Address
- 805 S Tejon St, Colorado Springs, CO 80903-4148
- Phone
- (719) 659-5271
Authorised official
- Name
- Tracy L Brown
- Title
- Co -Owner
- Phone
- (719) 659-5271
Registered specialties (2)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Respite Care
Registry record
- NPI
- 1437632940
- Entity type
- Organization
- NPI issued
- 11 Sep 2018
- Record last updated
- 7 Jan 2020
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.