| Jubilant Restoration, Llc | |
|
129 1/2 W 3rd St Ste 8 Salida CO 81201-2042 | |
| (719) 221-3375 | |
| Not Available |
| Full Name | Jubilant Restoration, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 129 1/2 W 3rd St Ste 8, Salida, Colorado |
| Authorized Official Name and Position | Deborah J. Papp (OWNER/CLINICIAN) |
| Authorized Official Contact | 7192213375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jubilant Restoration, Llc Po Box 598 Salida CO 81201-0598 Ph: (719) 221-3375 | Jubilant Restoration, Llc 129 1/2 W 3rd St Ste 8 Salida CO 81201-2042 Ph: (719) 221-3375 |
| NPI Number | 1740727866 |
|---|---|
| Provider Enumeration Date | 01/26/2017 |
| Last Update Date | 01/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740727866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CSW.09923029 (Colorado) | Primary |
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