Provider Demographics
NPI:1790449346
Name:COLORS IN LIFE, INC.
Entity Type:Organization
Organization Name:COLORS IN LIFE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:G
Authorized Official - Last Name:ZASO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-926-9118
Mailing Address - Street 1:PO BOX 1344
Mailing Address - Street 2:
Mailing Address - City:CHINOOK
Mailing Address - State:MT
Mailing Address - Zip Code:59523-1344
Mailing Address - Country:US
Mailing Address - Phone:406-357-2101
Mailing Address - Fax:
Practice Address - Street 1:424 ILLINOIS ST
Practice Address - Street 2:
Practice Address - City:CHINOOK
Practice Address - State:MT
Practice Address - Zip Code:59523-7729
Practice Address - Country:US
Practice Address - Phone:406-357-2101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-28
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty