NPI 1477924728

The Brain Center of Colorado

Organisation Exclusive Provider Organization Castle Rock, CO

Practice location

Address: 404 Jerry St, Castle Rock, CO 80104-2468
Phone: (719) 452-9808
Mailing address: 322 Mission Hill Way, Colorado Springs, CO 80921-3238

Authorised official

Name: Robert Whirl
Title: Owner
Phone: (719) 452-9808

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence NLC.0013119 (CO)

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Registry record

NPI: 1477924728
Entity type: Organization
NPI issued: 13 Oct 2015
Record last updated: 13 Oct 2015

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.