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Organization

SPANISH CLINIC LLC

Active
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Organization

SPANISH CLINIC LLC

Active
Parent organization
SPANISH CLINIC LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SPANISH CLINIC LLC
Authorized official
ALFONSO CASTILLO (DIRECTOR)
(303) 934-3040
Entity
Organization

Contact information

Practice address
12445 E 39TH AVE UNIT 207, DENVER, CO 80239-3454
(720) 335-6651
Mailing address
4200 MORRISON RD UNIT 8, DENVER, CO 80219-2490
(720) 225-7157

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
—
9000162712
—
CO
Enumeration date
09/28/2020
Last updated
09/28/2020
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