| Positive Behavioral Services Of The Four Corners Llc | |
|
23 S Beech St Ste B102 Cortez CO 81321-3751 | |
| (970) 946-1539 | |
| (719) 638-8115 |
| Full Name | Positive Behavioral Services Of The Four Corners Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 23 S Beech St Ste B102, Cortez, Colorado |
| Authorized Official Name and Position | Mark Holton (OWNER) |
| Authorized Official Contact | 9709461539 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Behavioral Services Of The Four Corners Llc Po Box 76510 Colorado Springs CO 80970-6510 Ph: (970) 946-1539 | Positive Behavioral Services Of The Four Corners Llc 23 S Beech St Ste B102 Cortez CO 81321-3751 Ph: (970) 946-1539 |
| NPI Number | 1245987346 |
|---|---|
| Provider Enumeration Date | 03/08/2022 |
| Last Update Date | 03/08/2022 |
| Certification Date | 02/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245987346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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