# SOUTHWEST CENTER FOR INDEPENDENCE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265888176
- **Authorized official:** MARTHA MASON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (970) 259-1672

## Contact information

- **Practice address:** 3473 MAIN AVE, SUITE 23, DURANGO, CO 81301-4010
- **Practice address phone:** (970) 259-1672
- **Mailing address:** 3473 MAIN AVE, SUITE 23, DURANGO, CO 81301-4010
- **Mailing address phone:** (970) 259-1672
- **Mailing address fax:** (970) 259-0947

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/10/2016
- **Last updated:** 05/10/2016