Organization
COMMUNITY MEDICAL SERVICES MONTANA PRIVATE LLC
Active
Other names
CMS ENGLEWOOD
Organization subpart
No
Provider details
NPI number
Authorized official
ALEJANDRA G VILCHIS (CREDENTIALING PROVIDER DATA MANAGER)
(480) 977-1438
Entity
Organization
Contact information
Practice address
4384 S FEDERAL BLVD, ENGLEWOOD, CO 80110-5311
(720) 853-4230
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
(480) 977-1438
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
11/29/2023
Last updated
02/10/2024
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