| Spanish Clinic Llc | |
|
1400 Dayton St Aurora CO 80010-3233 | |
| (303) 934-3040 | |
| Not Available |
| Full Name | Spanish Clinic Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1400 Dayton St, Aurora, Colorado |
| Authorized Official Name and Position | Alfonso Castillo (DIRECTOR) |
| Authorized Official Contact | 3039343040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spanish Clinic Llc 1400 Dayton St Aurora CO 80010-3233 Ph: (720) 920-9508 | Spanish Clinic Llc 1400 Dayton St Aurora CO 80010-3233 Ph: (303) 934-3040 |
| NPI Number | 1023625621 |
|---|---|
| Provider Enumeration Date | 09/28/2020 |
| Last Update Date | 09/28/2020 |
| Certification Date | 09/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023625621 | NPI | - | NPPES |
| 9000162712 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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