Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Extreme Sports Camp

Organization Counselor · NPI 1669744637

Extreme Sports Camp is a Counselor in Basalt, Colorado. Licensed in Colorado. Registered with an NPI since 2012.

Licensed in
CO
In the registry since
2012
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Practice location Address checks out

23286 Two Rivers Rd Ste 24-A
Basalt, CO 81621-9285
Phone: (970) 927-3143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 1534517 (CO)

Record details

NPI number1669744637
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sallie Bernard — Executive Director · (970) 927-0433
NPI enumeratedFebruary 6, 2012
Last updated in NPPESFebruary 6, 2012
Mailing address23286 Two Rivers Rd, Suite 24-A, Basalt, CO 81621-9285