| Historic Pines Youth Ranch Llc | |
|
379 Chalice Drive Westcliffe CO 81252 | |
| (801) 735-5971 | |
| (775) 549-8800 |
| Full Name | Historic Pines Youth Ranch Llc |
|---|---|
| Speciality | Psychiatric Residential Treatment Facility |
| Location | 379 Chalice Drive, Westcliffe, Colorado |
| Authorized Official Name and Position | Christy Peck Kane (DIRECTOR) |
| Authorized Official Contact | 7024306206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Historic Pines Youth Ranch Llc Po Box 311 Westcliffe CO 81252-0311 Ph: (801) 735-5971 | Historic Pines Youth Ranch Llc 379 Chalice Drive Westcliffe CO 81252 Ph: (801) 735-5971 |
| NPI Number | 1023322492 |
|---|---|
| Provider Enumeration Date | 07/28/2010 |
| Last Update Date | 07/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023322492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 323P00000X | Psychiatric Residential Treatment Facility | (* (Not Available)) | Primary |
Solvista Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 511 Main St, Westcliffe, CO 81252 Phone: 719-783-0566 | |
West Central Mental Health Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 511 Main St, Westcliffe, CO 81252 Phone: 719-783-0566 | |
Genesis- Prevent Protect Provide Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 379 Chalice Rd., Westcliffe, CO 81252 Phone: 719-371-2472 | |
Solvista Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 511 Main St, Westcliffe, CO 81252 Phone: 719-783-0566 | |
Solvista Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 511 Main St, Westcliffe, CO 81252 Phone: 719-275-2351 | |
Fns Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 379 Chalice Road, Westcliffe, CO 81252 Phone: 303-990-2625 |