| San Luis Valley Behavioral Health Group | |
|
409 Trinchera Street San Luis CO 81152 | |
| (719) 589-3671 | |
| Not Available |
| Full Name | San Luis Valley Behavioral Health Group |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 409 Trinchera Street, San Luis, Colorado |
| Authorized Official Name and Position | Kyle Turnwall (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7195893671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Luis Valley Behavioral Health Group 8745 County Road 9 S Alamosa CO 81101-9610 Ph: (719) 589-3671 | San Luis Valley Behavioral Health Group 409 Trinchera Street San Luis CO 81152 Ph: (719) 589-3671 |
| NPI Number | 1225855224 |
|---|---|
| Provider Enumeration Date | 09/23/2024 |
| Last Update Date | 10/04/2024 |
| Certification Date | 10/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225855224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
San Luis Valley Community Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Trinchera, San Luis, CO 81152 Phone: 719-589-3671 Fax: 719-587-6824 |