| Southwest Wellness & Life Enhancement Center | |
|
503 N Main St Suite 326 Pueblo CO 81003-3130 | |
| (719) 561-9084 | |
| (719) 564-5605 |
| Full Name | Southwest Wellness & Life Enhancement Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 503 N Main St, Pueblo, Colorado |
| Authorized Official Name and Position | Adeline D Armijo (OWNER/PROVIDER) |
| Authorized Official Contact | 7195619084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Wellness & Life Enhancement Center 7 Encino Pl Pueblo CO 81005-2948 Ph: (719) 561-9084 | Southwest Wellness & Life Enhancement Center 503 N Main St Suite 326 Pueblo CO 81003-3130 Ph: (719) 561-9084 |
| NPI Number | 1689012569 |
|---|---|
| Provider Enumeration Date | 06/12/2013 |
| Last Update Date | 06/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689012569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 989979 (Colorado) | Primary |
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