FOUNTAIN VALLEY HEALTH CARE LLC

COLORADO SPRINGS, CO
NPI1225890619
Doing Business AsFOUNTAIN VALLEY BEHAVIORAL HEALTH
Entity TypeOrganization
Authorized ContactJACQUITA LOUISE JORDAN
Owner
719-358-7338
Organization Subpart ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Additional Taxonomies101Y00000X Counselor
Enumeration Date2024-01-30
Last Update Date2024-02-09
Business Address
FOUNTAIN VALLEY HEALTH CARE LLC
1259 LAKE PLAZA DR STE 270
COLORADO SPRINGS, CO 80906-3560
Phone number: 719-653-7776
Mailing Address
FOUNTAIN VALLEY HEALTH CARE LLC
1259 LAKE PLAZA DR STE 270
COLORADO SPRINGS, CO 80906-3560
Phone number: 719-653-7776