| Aim Outpatient Services, Llc | |
|
3960 Ivywood Ln Pueblo CO 81005-2567 | |
| (719) 924-9850 | |
| (719) 565-2313 |
| Full Name | Aim Outpatient Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3960 Ivywood Ln, Pueblo, Colorado |
| Authorized Official Name and Position | Kellie M Torres Avila (ADMINISTRATOR) |
| Authorized Official Contact | 7199249850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aim Outpatient Services, Llc 3960 Ivywood Ln Pueblo CO 81005-2567 Ph: (719) 924-9850 | Aim Outpatient Services, Llc 3960 Ivywood Ln Pueblo CO 81005-2567 Ph: (719) 924-9850 |
| NPI Number | 1760088314 |
|---|---|
| Provider Enumeration Date | 12/09/2020 |
| Last Update Date | 12/09/2020 |
| Certification Date | 12/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760088314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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