Southeast Mental Health Services

NPI #1235770561 in Lamar, Colorado

Provider Information

NPI Number: 1235770561
Entity Type: Organization
Organization Name: Southeast Mental Health Services
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 8, 2019
Last Updated: Oct 8, 2019

Practice Location

Address: 3500 1ST ST S
City: Lamar
State: Colorado
ZIP Code: 81052-4327
Phone: (719) 384-5446

Authorized Official

Name: CAROL A ARAGON
Title: CREDENTIALING SPECIALIST
Phone: (719) 383-5408

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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