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Organization
WEST CENTRAL MENTAL HEALTH CENTER, INC
Active
Organization
WEST CENTRAL MENTAL HEALTH CENTER, INC
Active
Other names
Solvista Health
Organization subpart
No
Provider details
NPI number
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
1668-00
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04200093
—
CO
Enumeration date
04/30/2015
Last updated
05/08/2024
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