| Colorado Veterans Health And Wellness Agency | |
|
1330 Quail Lake Loop Suite 260 Colorado Springs CO 80906-4651 | |
| (719) 540-2100 | |
| Not Available |
| Full Name | Colorado Veterans Health And Wellness Agency |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1330 Quail Lake Loop, Colorado Springs, Colorado |
| Authorized Official Name and Position | Charles Weber (PRESIDENT) |
| Authorized Official Contact | 7195402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Veterans Health And Wellness Agency 1330 Quail Lake Loop Suite 260 Colorado Springs CO 80906-4651 Ph: (719) 540-2100 | Colorado Veterans Health And Wellness Agency 1330 Quail Lake Loop Suite 260 Colorado Springs CO 80906-4651 Ph: (719) 540-2100 |
| NPI Number | 1124470950 |
|---|---|
| Provider Enumeration Date | 07/05/2016 |
| Last Update Date | 07/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124470950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 0053911 (Colorado) | Primary |
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