SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER NPI 1043836380

NPI Information

SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER is a mental health (including community mental health center) clinic center in Antonito, CO. SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER NPI is 1043836380. The provider is registered as an organization entity type.
The provider Is Doing Business As San Luis Valley Behavioral Health Group.

The provider's business location address is:

9TH & DAHLIA
AKA 915 DAHLIA
ANTONITO, CO
ZIP 81120
Phone: (719) 589-3671

The provider's authorized official is Victoria Romero .
The authorized official title is Ceo and has the following contact phone number (719) 589-3671.

The CLIA number assigned to this NPI record is 06D0939923 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/23/2020 and was last updated on 1/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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