NPI 1871123471 · live from the CMS NPI Registry
Actualize Behavioral Health LLC
Social Worker, Clinical in Colorado Springs, CO. National Provider Identifier 1871123471, active.
NPI record
| NPI | 1871123471 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 2860 S Circle Dr, Colorado Springs, CO 80906 |
| Practice phone | 719-492-9500 |
| Mailing address | 1260 Friendship Ln W, Colorado Springs, CO 80904 |
| Enumerated | January 22, 2020 |
| Last updated | January 22, 2020 |
| Authorized official | Patricia Morgan, Clinical Social Worker |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.