NPI 1528331279

Larry E. Shores, INC

Organisation Psychiatric Hospital Colorado Springs, CO

Practice location

Address: 2135 Southgate Rd, Colorado Springs, CO 80906-2605
Phone: (719) 633-4114
Fax: (719) 633-5987

Authorised official

Name: Abby Whiteside
Title: Billing Agent
Phone: (719) 749-0256

Registered specialties

Psychiatric Hospital Primary

Hospitals Taxonomy 283Q00000X Licence 34757 (CO)

Other Psychiatric Hospital providers in Colorado →

Registry record

NPI: 1528331279
Entity type: Organization
NPI issued: 10 Feb 2012
Record last updated: 19 Apr 2012

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.