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Organization
COMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC
Active
Organization
COMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC
Active
Other names
CMS GREENWOOD VILLAGE
Organization subpart
No
Provider details
NPI number
Authorized official
ALEJANDRA G VILCHIS (CREDENTIALING PROVIDER DATA MANAGER)
(480) 977-1438
Entity
Organization
Contact information
Practice address
6801 S DAYTON ST, GREENWOOD VILLAGE, CO 80112-3624
(720) 853-4230
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
(480) 977-1438
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
11/29/2023
Last updated
02/10/2024
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