| NPI | 1316735855 |
|---|---|
| Doing Business As | BRADS HOUSE MESA RIDGE |
| Entity Type | Organization |
| Authorized Contact | PATRICK HAGGARD Billing Director 719-641-7051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2025-04-25 |
| Last Update Date | 2025-04-25 |