| Diversus Health Services | |
|
970 Castello Ave Fairplay CO 80440 | |
| (719) 572-6100 | |
| Not Available |
| Full Name | Diversus Health Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 970 Castello Ave, Fairplay, Colorado |
| Authorized Official Name and Position | Gene Contreras (VP ACCOUNTING AND FINANCE) |
| Authorized Official Contact | 7195726197 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diversus Health Services 220 Ruskin Dr Colorado Springs CO 80910-2522 Ph: (719) 572-6100 | Diversus Health Services 970 Castello Ave Fairplay CO 80440 Ph: (719) 572-6100 |
| NPI Number | 1114778370 |
|---|---|
| Provider Enumeration Date | 03/27/2024 |
| Last Update Date | 05/08/2024 |
| Certification Date | 05/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114778370 | NPI | - | NPPES |
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