| Southeast Mental Health Services | |
|
3500 1st St S Lamar CO 81052-4327 | |
| (719) 384-5446 | |
| (719) 384-5672 |
| Full Name | Southeast Mental Health Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3500 1st St S, Lamar, Colorado |
| Authorized Official Name and Position | Carol A Aragon (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7193835408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Mental Health Services 711 Barnes Ave La Junta CO 81050-2138 Ph: (719) 384-5446 | Southeast Mental Health Services 3500 1st St S Lamar CO 81052-4327 Ph: (719) 384-5446 |
| NPI Number | 1235770561 |
|---|---|
| Provider Enumeration Date | 10/08/2019 |
| Last Update Date | 10/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235770561 | NPI | - | NPPES |
| 9000153848 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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