Servicios De La Raza | |
200 S Sheridan Blvd Ste 100 Lakewood CO 80226-8010 | |
(303) 953-5917 | |
Not Available |
Full Name | Servicios De La Raza |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 200 S Sheridan Blvd Ste 100, Lakewood, Colorado |
Authorized Official Name and Position | Ana Belen Vizoso (DIRECTOR OF BEHAVIORAL HEALTH) |
Authorized Official Contact | 3039535910 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Servicios De La Raza 3131 W 14th Ave Denver CO 80204-2203 Ph: (303) 458-5851 | Servicios De La Raza 200 S Sheridan Blvd Ste 100 Lakewood CO 80226-8010 Ph: (303) 953-5917 |
NPI Number | 1720681786 |
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Provider Enumeration Date | 11/20/2020 |
Last Update Date | 03/09/2022 |
Certification Date | 03/09/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720681786 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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