Organization
LUIS ALVAREZ LLC
Active
Organization
LUIS ALVAREZ LLC
Active
Other names
Western Mountain Youth Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS ANTONIO ALVAREZ MA (DIRECTOR)
(719) 852-9697
Entity
Organization
Contact information
Practice address
922 2ND AVE, MONTE VISTA, CO 81144-1443
(719) 852-9697
Mailing address
922 2ND AVE, MONTE VISTA, CO 81144-1443
(719) 852-9697
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
1593695
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56481322
—
CO
Enumeration date
07/29/2010
Last updated
07/29/2010
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