Healthcare Provider Details

I. General information

NPI: 1831018977
Provider Name (Legal Business Name): CHRIS ALIRES
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3460 BRIARGATE BLVD
COLORADO SPRINGS CO
80920-4168
US

IV. Provider business mailing address

6727 SILVER STAR LN STE 250
COLORADO SPRINGS CO
80923-4502
US

V. Phone/Fax

Practice location:
  • Phone: 719-491-4490
  • Fax:
Mailing address:
  • Phone: 719-491-4490
  • Fax: 719-426-9730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: