Poet's Glade
NPI #1245526458 in Buena Vista, Colorado
Provider Information
- NPI Number
- 1245526458
- Entity Type
- Organization
- Organization Name
- Poet's Glade
- Primary Specialty
- Voluntary or Charitable
- Enumeration Date
- Jun 26, 2011
- Last Updated
- Jun 26, 2011
Practice Location
- Address
- 18065 RIO HONDO DR
- City
- Buena Vista
- State
- Colorado
- ZIP Code
- 81211-9126
- Phone
- (832) 622-3766
Authorized Official
- Name
- DONALD CHRISTOPHER CARROLL, MDIV
- Title
- DIRECTOR
- Phone
- (832) 622-3766
Specialties & Taxonomy Codes
| Specialty |
|---|
| Voluntary or Charitable |
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