Full Name | |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 410 Mcgregor Dr, Gypsum, Colorado |
Authorized Official Name and Position | Casey L Angel (SENIOR DIRECTOR) |
Authorized Official Contact | 9703063773 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1529 Vail CO 81658-1529 Ph: () - | 410 Mcgregor Dr Gypsum CO 81637 Ph: (970) 945-2840 |
NPI Number | 1174339865 |
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Provider Enumeration Date | 12/06/2024 |
Last Update Date | 01/23/2025 |
Certification Date | 01/21/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174339865 | NPI | - | NPPES |