| Southwest Colorado Mental Health Center Inc Dba Axis Health System | |
|
1175 Grand Ave Ste 103 Norwood CO 81423-5070 | |
| (970) 252-3200 | |
| Not Available |
| Full Name | Southwest Colorado Mental Health Center Inc Dba Axis Health System |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1175 Grand Ave Ste 103, Norwood, Colorado |
| Authorized Official Name and Position | Shelly Burke (CEO) |
| Authorized Official Contact | 0000000000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Colorado Mental Health Center Inc Dba Axis Health System Po Box 1328 Durango CO 81302-1328 Ph: () - | Southwest Colorado Mental Health Center Inc Dba Axis Health System 1175 Grand Ave Ste 103 Norwood CO 81423-5070 Ph: (970) 252-3200 |
| NPI Number | 1649914045 |
|---|---|
| Provider Enumeration Date | 04/22/2022 |
| Last Update Date | 04/22/2022 |
| Certification Date | 04/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649914045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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