| Southwest Colorado Mental Health Center, Inc | |
|
495 W 4th St Dove Creek CO 81324-4900 | |
| (970) 677-2291 | |
| (833) 245-0111 |
| Full Name | Southwest Colorado Mental Health Center, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 495 W 4th St, Dove Creek, Colorado |
| Authorized Official Name and Position | Janet Accomando Petty (DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Contact | 9704976384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Colorado Mental Health Center, Inc Po Box 1328 Durango CO 81302-1328 Ph: (970) 335-2342 | Southwest Colorado Mental Health Center, Inc 495 W 4th St Dove Creek CO 81324-4900 Ph: (970) 677-2291 |
| NPI Number | 1831928696 |
|---|---|
| Provider Enumeration Date | 07/30/2024 |
| Last Update Date | 07/30/2024 |
| Certification Date | 07/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831928696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Axis Health System Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 495 W 4th St, Dove Creek, CO 81324 Phone: 970-677-2291 Fax: 833-245-0111 |