| West Central Mental Health Center, Inc Solvista Health | |
|
3225 Independence Rd Canon City CO 81212-9380 | |
| (719) 275-2351 | |
| Not Available |
| Full Name | West Central Mental Health Center, Inc Solvista Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3225 Independence Rd, Canon City, 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 |
|---|---|
| West Central Mental Health Center, Inc Solvista Health 3225 Independence Rd Canon City CO 81212-9380 Ph: (719) 275-2351 | West Central Mental Health Center, Inc Solvista Health 3225 Independence Rd Canon City CO 81212-9380 Ph: (719) 275-2351 |
| NPI Number | 1053096248 |
|---|---|
| Provider Enumeration Date | 06/16/2023 |
| Last Update Date | 05/08/2024 |
| Certification Date | 05/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053096248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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