Organization
ARKANSAS VALLEY COMMUNITY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA M SALO (ASSOCIATE EXECUTIVE DIRECTOR)
(719) 384-8741
Entity
Organization
Contact information
Practice address
1500 SAN JUAN AVE, LA JUNTA, CO 81050-2834
(719) 384-8741
Mailing address
PO BOX 1130, LA JUNTA, CO 81050-1130
(719) 384-8741
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09145871
—
CO
Enumeration date
04/02/2007
Last updated
08/22/2020
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