Whalio Doctors

NPI 1437632940

Common Roots LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Colorado Springs, CO

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
Residential Treatment Facilities Taxonomy 320900000X
Respite Care
Respite Care Facility Taxonomy 385H00000X

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.