Provider Demographics
NPI:1376690875
Name:CATHOLIC HEALTH INITIATIVES COLORADO
Entity Type:Organization
Organization Name:CATHOLIC HEALTH INITIATIVES COLORADO
Other - Org Name:PROFILE EAP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SONNTAG
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:719-634-1825
Mailing Address - Street 1:961 E COLORADO AVE
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-3776
Mailing Address - Country:US
Mailing Address - Phone:719-364-1825
Mailing Address - Fax:719-634-1874
Practice Address - Street 1:961 E COLORADO AVE
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-3776
Practice Address - Country:US
Practice Address - Phone:719-364-1825
Practice Address - Fax:719-634-1874
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTURA HEALTH PENROSE ST. FRANCIS HEALTH SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-05
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health