HAVEN BEHAVIORAL OUTPATIENT SERVICES OF COLORADO LLC NPI 1396380994

NPI Information

NPI: 1396380994
Provider Name: HAVEN BEHAVIORAL OUTPATIENT SERVICES OF COLORADO, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1026 W ABRIENDO AVE
PUEBLO, CO
ZIP 81004
Phone: (719) 252-3327
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HAVEN BEHAVIORAL OUTPATIENT SERVICES OF COLORADO, LLC is a mental health (including community mental health center) clinic center in Pueblo, CO. HAVEN BEHAVIORAL OUTPATIENT SERVICES OF COLORADO, LLC NPI is 1396380994. The provider is registered as an organization entity type.

The provider's business location address is:

1026 W ABRIENDO AVE
PUEBLO, CO
ZIP 81004-128
Phone: (719) 252-3327
Fax: (719) 545-4905

The provider's authorized official is Sherie Terranova .
The authorized official title is Operations Director and has the following contact phone number (719) 540-2152.

The enumeration date for this NPI number is 11/7/2019 and was last updated on 11/7/2019.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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