| West Central Mental Health Center, Inc. | |
|
714 Front St Leadville CO 80461-3921 | |
| (719) 486-0985 | |
| Not Available |
| Full Name | West Central Mental Health Center, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 714 Front St, Leadville, Colorado |
| Authorized Official Name and Position | Mandy Jo Kaisner (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7192752351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Central Mental Health Center, Inc. 3225 Independence Rd Canon City CO 81212-9380 Ph: (719) 275-2351 | West Central Mental Health Center, Inc. 714 Front St Leadville CO 80461-3921 Ph: (719) 486-0985 |
| NPI Number | 1952140006 |
|---|---|
| Provider Enumeration Date | 05/20/2024 |
| Last Update Date | 05/20/2024 |
| Certification Date | 05/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952140006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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