Organization
SOUTHEAST MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL A ARAGON (CREDENTIALING SPECIALIST)
(719) 383-5408
Entity
Organization
Contact information
Practice address
122 N. MAIN ST., LAMAR, CO 81052
(719) 384-5446
Mailing address
711 BARNES AVE, LA JUNTA, CO 81050-2138
(719) 384-5446
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/05/2021
Last updated
04/01/2021
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