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Organization

SOUTHEAST MENTAL HEALTH SERVICES

Active
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Organization

SOUTHEAST MENTAL HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROL A ARAGON (CREDENTIALING SPECIALIST)
(719) 383-5408
Entity
Organization

Contact information

Practice address
613 BARNES AVE, LA JUNTA, CO 81050-2136
(719) 384-5446
(719) 384-5672
Mailing address
711 BARNES AVE, LA JUNTA, CO 81050-2138
(719) 384-5446
(719) 384-5672

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—

Other

Enumeration date
10/23/2019
Last updated
10/23/2019
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