| Spanish Clinic Llc | |
|
4200 Morrison Rd Unit 8 Denver CO 80219-2481 | |
| (303) 934-3040 | |
| (303) 934-4188 |
| Full Name | Spanish Clinic Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4200 Morrison Rd, Denver, Colorado |
| Authorized Official Name and Position | Alfonso Castillo (DIRECTOR/OWNER) |
| Authorized Official Contact | 3039343040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spanish Clinic Llc 4200 Morrison Rd Unit 8 Denver CO 80219-2481 Ph: (303) 934-3040 | Spanish Clinic Llc 4200 Morrison Rd Unit 8 Denver CO 80219-2481 Ph: (303) 934-3040 |
| NPI Number | 1598012064 |
|---|---|
| Provider Enumeration Date | 08/14/2012 |
| Last Update Date | 08/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598012064 | NPI | - | NPPES |
| 82986541 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4790 (Colorado) | Primary |
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