| Centro De La Familia | |
|
1645 S Murray Blvd Colorado Springs CO 80916-4502 | |
| (719) 238-8638 | |
| (719) 227-9185 |
| Full Name | Centro De La Familia |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1645 S Murray Blvd, Colorado Springs, Colorado |
| Authorized Official Name and Position | Lucia Guillen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7192388638 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro De La Familia Po Box 15005 Colorado Springs CO 80935-5005 Ph: (719) 238-8638 | Centro De La Familia 1645 S Murray Blvd Colorado Springs CO 80916-4502 Ph: (719) 238-8638 |
| NPI Number | 1639413248 |
|---|---|
| Provider Enumeration Date | 11/20/2012 |
| Last Update Date | 09/28/2020 |
| Certification Date | 09/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639413248 | NPI | - | NPPES |
| 007528 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CSW-991418 (Colorado) | Primary |
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