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Organization
WEST CENTRAL MENTAL HEALTH CENTER INC.
Active
Organization
WEST CENTRAL MENTAL HEALTH CENTER INC.
Active
Parent organization
WEST CENTRAL INC.
Other names
WCMHC-ADAD
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST CENTRAL INC.
Authorized official
MANDY JO KAISNER LPC (CHIEF EXECUTIVE OFFICER)
(719) 275-2351
Entity
Organization
Contact information
Practice address
3225 INDEPENDENCE RD, CANON CITY, CO 81212-9380
(719) 275-2351
(719) 269-9386
Mailing address
3225 INDEPENDENCE RD, CANON CITY, CO 81212-9380
(719) 275-2351
(719) 269-9386
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80125328
—
CO
Enumeration date
07/29/2011
Last updated
05/08/2024
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