Organization
LA RAZA SERVICES INC
Active
Parent organization
LA RAZA SERVICES INC
Other names
Servicios de La Raza
Organization subpart
Yes
Provider details
NPI number
Legal business name
LA RAZA SERVICES INC
Authorized official
ANA BELEN VIZOSO (DIRECTOR OF BEHAVIORAL HEALTH)
(303) 953-5910
Entity
Organization
Contact information
Practice address
3131 W 14TH AVE, DENVER, CO 80204-2203
(303) 458-5851
Mailing address
3131 W 14TH AVE, DENVER, CO 80204-2203
(303) 458-5851
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000167581
—
CO
Enumeration date
07/27/2022
Last updated
07/27/2022
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