Provider Demographics
NPI:1811192040
Name:PIKES PEAK FAMILY CONNECTIONS, INC.
Entity Type:Organization
Organization Name:PIKES PEAK FAMILY CONNECTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:A
Authorized Official - Last Name:SLASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-520-1019
Mailing Address - Street 1:2220 E BIJOU ST STE 2E
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-8001
Mailing Address - Country:US
Mailing Address - Phone:719-520-1019
Mailing Address - Fax:719-471-3197
Practice Address - Street 1:2220 E BIJOU ST STE 2E
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-8001
Practice Address - Country:US
Practice Address - Phone:719-520-1019
Practice Address - Fax:719-471-3197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-18
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare