West Central Mental Health Center, Inc | |
211 Tabor Street #110 & 112 Buena Vista CO 81211-9158 | |
(719) 539-6502 | |
Not Available |
Full Name | West Central Mental Health Center, Inc |
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Speciality | Community/behavioral Health |
Location | 211 Tabor Street #110 & 112, Buena Vista, Colorado |
Authorized Official Name and Position | Mandy Jo Kaisner (CEO) |
Authorized Official Contact | 7192752351 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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West Central Mental Health Center, Inc 3225 Independence Rd Canon City CO 81212-9380 Ph: (719) 275-2351 | West Central Mental Health Center, Inc 211 Tabor Street #110 & 112 Buena Vista CO 81211-9158 Ph: (719) 539-6502 |
NPI Number | 1083399257 |
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Provider Enumeration Date | 06/16/2023 |
Last Update Date | 05/08/2024 |
Certification Date | 05/08/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083399257 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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West Central Mental Health Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 Tabor Street Suite #110 &112, Buena Vista, CO 81211 Phone: 719-539-6502 | |
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