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
1400 DAYTON ST, AURORA, CO 80010-3233
(303) 934-3040
Mailing address
1400 DAYTON ST, AURORA, CO 80010-3233
(720) 920-9508
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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