Provider Demographics
NPI:1598066383
Name:COLORADO SPRINGS THERAPEUTIC RIDING CENTER
Entity Type:Organization
Organization Name:COLORADO SPRINGS THERAPEUTIC RIDING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-634-4173
Mailing Address - Street 1:3254 PASEO RD
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-1050
Mailing Address - Country:US
Mailing Address - Phone:719-634-4173
Mailing Address - Fax:719-477-0461
Practice Address - Street 1:3254 PASEO RD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-1050
Practice Address - Country:US
Practice Address - Phone:719-634-4173
Practice Address - Fax:719-477-0461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-09
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization