| Diversus Health Inc | |
|
460 County Road 43 # A Ste 7 Bailey CO 80421-2503 | |
| (719) 572-6100 | |
| Not Available |
| Full Name | Diversus Health Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 460 County Road 43 # A, Bailey, Colorado |
| Authorized Official Name and Position | Gene Contreras (VP ACCOUNTING & FINANCE) |
| Authorized Official Contact | 7195726197 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diversus Health Inc 220 Ruskin Dr Colorado Springs CO 80910-2522 Ph: () - | Diversus Health Inc 460 County Road 43 # A Ste 7 Bailey CO 80421-2503 Ph: (719) 572-6100 |
| NPI Number | 1003271776 |
|---|---|
| Provider Enumeration Date | 12/23/2015 |
| Last Update Date | 01/09/2024 |
| Certification Date | 01/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003271776 | NPI | - | NPPES |
| 09012567 | Medicaid | CO |
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