Diversus Health Inc | |
328 10th St Calhan CO 80808-8446 | |
(719) 572-6100 | |
Not Available |
Full Name | Diversus Health Inc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 328 10th St, Calhan, Colorado |
Authorized Official Name and Position | Gene Contreras (VP ACCOUNT & FINANCE) |
Authorized Official Contact | 7195726197 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Diversus Health Inc 220 Ruskin Dr Colorado Springs CO 80910-2522 Ph: () - | Diversus Health Inc 328 10th St Calhan CO 80808-8446 Ph: (719) 572-6100 |
NPI Number | 1013363837 |
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Provider Enumeration Date | 05/11/2016 |
Last Update Date | 01/09/2024 |
Certification Date | 01/09/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013363837 | NPI | - | NPPES |
09910531 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Diversus Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 328 10th St, Calhan, CO 80808 Phone: 719-572-6100 | |
Footprints Of Change Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 355 N Ellicott Hwy # A101, Calhan, CO 80808 Phone: 719-749-6211 Fax: 719-500-4465 | |
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