Full Name | |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 260 Worth Street, Center, Colorado |
Authorized Official Name and Position | Victoria Romero (CEO) |
Authorized Official Contact | 7195893671 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8745 County Road 9 S Alamosa CO 81101-9610 Ph: (719) 589-3671 | 260 Worth Street Center CO 81125 Ph: (719) 589-3671 |
NPI Number | 1508470881 |
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Provider Enumeration Date | 09/03/2020 |
Last Update Date | 01/16/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508470881 | NPI | - | NPPES |