NPI 1679896088

Phase Two Counseling Service

Organisation Health Maintenance Organization Colorado Springs, CO

Practice location

Address: 833 E Platte Ave L-3, Colorado Springs, CO 80903-5512
Phone: (719) 473-1805
Fax: (719) 302-5324

Authorised official

Name: Margie R Jones-Dudley
Title: Sole Owner
Phone: (719) 473-1805

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 6148 (CO)

Other Health Maintenance Organization providers in Colorado →

Registry record

NPI: 1679896088
Entity type: Organization
NPI issued: 12 Mar 2010
Record last updated: 12 Mar 2010

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.