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Diversus Health Inc
Mental Health Clinic/Center (Including Community Mental Health Center) in Woodland Park, Colorado
NPI 1811352586

Diversus Health Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Colorado Springs, CO and is specialized in Mental Health (Including Community Mental Health Center). Diversus Health Inc practices in Woodland Park, CO. The NPI Number for Diversus Health Inc is 1811352586 and holds a License No. (Colorado).

The current practice location address for Diversus Health Inc is 18401 Highway 24 Ste 119, Woodland Park, CO and can be reached out via phone at 719-572-6100.

Location: 18401 Highway 24 Ste 119, Woodland Park, CO, 80910-2522
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811352586
Provider Name
Diversus Health Inc
Credential
Provider Entity Type
Organization
Address
18401 Highway 24 Ste 119, Woodland Park, CO, 80910-2522
Phone Number
719-572-6100
Fax Number
Provider Enumeration Date
12/23/2015
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
47073501 05 CO
C44009 01 CO MEDICARE PART B
institution
Provider Business Practice Location Address Details
Address
18401 Highway 24 Ste 119
City
Woodland Park
State
Colorado
Zip
80863-9036
Phone Number
719-572-6100
Fax Number
person
Provider Business Mailing Address Details
Address
18401 Highway 24 Ste 119
City
Woodland Park
State
Colorado
Zip
80863-9036
Phone Number
719-572-6100
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
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Definition
Definition to come...
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