| Haven Behavioral Outpatient Services Of Colorado, Llc | |
|
1026 W Abriendo Ave Pueblo CO 81004-1128 | |
| (719) 252-3327 | |
| (719) 545-4905 |
| Full Name | Haven Behavioral Outpatient Services Of Colorado, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1026 W Abriendo Ave, Pueblo, Colorado |
| Authorized Official Name and Position | Sherie Terranova (OPERATIONS DIRECTOR) |
| Authorized Official Contact | 7195402152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Behavioral Outpatient Services Of Colorado, Llc 1330 Quail Lake Loop Ste 200 Colorado Springs CO 80906-4651 Ph: (719) 540-2152 | Haven Behavioral Outpatient Services Of Colorado, Llc 1026 W Abriendo Ave Pueblo CO 81004-1128 Ph: (719) 252-3327 |
| NPI Number | 1396380994 |
|---|---|
| Provider Enumeration Date | 11/07/2019 |
| Last Update Date | 11/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396380994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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