CHILD AND ADOLESCENT CLINIC P.C. NPI 1235354317

NPI Information

CHILD AND ADOLESCENT CLINIC P.C. is a mental health (including community mental health center) clinic center in Colorado Springs, CO. CHILD AND ADOLESCENT CLINIC P.C. NPI is 1235354317. The provider is registered as an organization entity type.

The provider's business location address is:

7870 N ACADEMY BLVD
COLORADO SPRINGS, CO
ZIP 80920-920
Phone: (719) 481-8618
Fax: (719) 599-0045

The provider's authorized official is Gary M. Unruh .
The authorized official title is Owner and has the following contact phone number (719) 481-8618.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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