Southwest Colorado Mental Health Center, INC
NPI #1285255364 in Pagosa Springs, Colorado
Provider Information
- NPI Number
- 1285255364
- Entity Type
- Organization
- Organization Name
- Southwest Colorado Mental Health Center, INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Apr 30, 2020
- Last Updated
- May 27, 2021
Practice Location
- Address
- 52 VILLAGE DR
- City
- Pagosa Springs
- State
- Colorado
- ZIP Code
- 81147-8368
- Phone
- (970) 264-2104
Authorized Official
- Name
- SHELLY BURKE
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (000) 000-0000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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