Organization
SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER
Active
Other names
San Luis Valley Behavioral Health Group
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA ROMERO (CEO)
(719) 589-3671
Entity
Organization
Contact information
Practice address
8745 COUNTY ROAD 9 S, ALAMOSA, CO 81101-9610
(719) 589-3671
(719) 589-9136
Mailing address
8745 COUNTY ROAD 9 SOUTH, ALAMOSA, CO 81101
(719) 589-3671
(719) 589-9136
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
15K557
CO
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063406999
—
CO
Enumeration date
09/07/2005
Last updated
01/16/2023
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