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NPI Code Detail

MEDICARE: PEER COACH ACADEMY COLORADO

MEDICARE: PEER COACH ACADEMY COLORADO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1320800000XMental Illness Community Based Residential Treatment Facility

General Provider Information

NPI Number : 1669291894
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEER COACH ACADEMY COLORADO
Provider Business Mailing Address
First Line : 2614 W PIKES PEAK AVE
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80904-3040
Country : US
Telephone Number : 720-435-5320
Fax Number :
Provider Business Practice Location Address
First Line : 2204 OAKRIDGE LN
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80915-1017
Country : US
Telephone Number : 800-604-8978
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : ROD RUSHING
Credential : CAS CPFS
Telephone Number : 720-435-5320
Provider Enumeration Date : 10/04/2024
Last Update Date : 04/19/2026

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Directions to “PEER COACH ACADEMY COLORADO ” Practice Location

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