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San Luis Valley Community Mental Health Center
Substance Use Disorder Rehabilitation Clinic/Center in South Fork, Colorado
NPI 1003420555

San Luis Valley Community Mental Health Center is a Substance Use Disorder Rehabilitation Clinic/Center based in Alamosa, CO and is specialized in Rehabilitation, Substance Use Disorder. San Luis Valley Community Mental Health Center practices in South Fork, CO. The NPI Number for San Luis Valley Community Mental Health Center is 1003420555 and holds a License No. (Colorado).

The current practice location address for San Luis Valley Community Mental Health Center is 20 Lodge Dr, South Fork, CO and can be reached out via phone at 719-589-3671.

Location: 20 Lodge Dr, South Fork, CO, 81101-9610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003420555
Provider Name
San Luis Valley Community Mental Health Center
Credential
Provider Entity Type
Organization
Address
20 Lodge Dr, South Fork, CO, 81101-9610
Phone Number
719-589-3671
Fax Number
Provider Enumeration Date
09/02/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
20 Lodge Dr
City
South Fork
State
Colorado
Zip
81154-9670
Phone Number
719-589-3671
Fax Number
person
Provider Business Mailing Address Details
Address
20 Lodge Dr
City
South Fork
State
Colorado
Zip
81154-9670
Phone Number
719-589-3671
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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