Healthcare Provider Details

I. General information

NPI: 1760317069
Provider Name (Legal Business Name): MIND OVER MATTER WELLNESS AND RECOVERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4050 AIRPORT RD
COLORADO SPRINGS CO
80910-2435
US

IV. Provider business mailing address

3609 AUSTIN BLUFFS PKWY
COLORADO SPRINGS CO
80918-6671
US

V. Phone/Fax

Practice location:
  • Phone: 719-360-8272
  • Fax:
Mailing address:
  • Phone: 719-360-8272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DOMINIC CATERIANO
Title or Position: FOUNDER
Credential:
Phone: 719-308-7690