| Delta Hangout | |
|
555 Meeker St Delta CO 81416-1920 | |
| (970) 399-3133 | |
| Not Available |
| Full Name | Delta Hangout |
|---|---|
| Speciality | Counselor - Professional |
| Location | 555 Meeker St, Delta, Colorado |
| Authorized Official Name and Position | Martha Amos (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 9707784360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Hangout 1131 N 21st St Grand Junction CO 81501-6576 Ph: (970) 778-4360 | Delta Hangout 555 Meeker St Delta CO 81416-1920 Ph: (970) 399-3133 |
| NPI Number | 1114763208 |
|---|---|
| Provider Enumeration Date | 07/08/2024 |
| Last Update Date | 07/11/2024 |
| Certification Date | 07/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114763208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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