Individual provider · Type 1 NPI
Christine Ruth Andersen
Emotionally Disturbed Childrens' Residential Treatment Facility · Colorado Springs, CO
Practice location
17 Farragut Ave
Colorado Springs, CO 80909-5686
Fax (719) 636-1116
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | None listed |
Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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About NPI 1508005778
Christine Ruth Andersen's National Provider Identifier is 1508005778, issued on Feb 11, 2009. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Colorado Springs, CO. The record was last updated on Feb 11, 2009.