Provider Demographics
NPI:1144050931
Name:SOUTHERN COLORADO ANIMAL ASSISTED THERAPY
Entity type:Organization
Organization Name:SOUTHERN COLORADO ANIMAL ASSISTED THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:PELLIZZARI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:919-412-4966
Mailing Address - Street 1:5525 N UNION BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-1968
Mailing Address - Country:US
Mailing Address - Phone:919-412-4966
Mailing Address - Fax:888-919-3180
Practice Address - Street 1:5525 N UNION BLVD STE 200
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-1968
Practice Address - Country:US
Practice Address - Phone:919-412-4966
Practice Address - Fax:888-919-3180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health