Mountain Family Living, A Prof Corp | |
167 N Cora, Ste 2 Ridgway CO 81432 | |
(970) 626-4202 | |
Not Available |
Full Name | Mountain Family Living, A Prof Corp |
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Speciality | Community/behavioral Health |
Location | 167 N Cora, Ste 2, Ridgway, Colorado |
Authorized Official Name and Position | Randolph - Stanko (PRESIDENT) |
Authorized Official Contact | 9706264202 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mountain Family Living, A Prof Corp 160 N Cora, Ste 2 Po Box 698 Ridgway CO 81432 Ph: (970) 626-4202 | Mountain Family Living, A Prof Corp 167 N Cora, Ste 2 Ridgway CO 81432 Ph: (970) 626-4202 |
NPI Number | 1679608137 |
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Provider Enumeration Date | 02/23/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1679608137 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | LMFT193 (Colorado) | Primary |
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