Full Name | |
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Speciality | Community/behavioral Health |
Location | 915 Dahlia, Antonito, Colorado |
Authorized Official Name and Position | Victoria Romero (CEO) |
Authorized Official Contact | 7195893671 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8745 County Road 9 S Alamosa CO 81101-9610 Ph: (719) 589-3671 | 915 Dahlia Antonito CO 81120 Ph: (719) 589-3671 |
NPI Number | 1609553775 |
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Provider Enumeration Date | 06/30/2023 |
Last Update Date | 06/30/2023 |
Certification Date | 06/30/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609553775 | NPI | - | NPPES |
San Luis Valley Community Mental Health Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 915 Dahlia Street, Antonito, CO 81120 Phone: 719-589-3671 |