Organization
WEST CENTRAL MENTAL HEALTH CENTER, INC.
Active
Parent organization
WEST CENTRAL INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST CENTRAL INC
Authorized official
MANDY JO KAISNER LPC (CEO)
(719) 275-2351
Entity
Organization
Contact information
Practice address
3225 INDEPENDENCE RD, CANON CITY, CO 81212-9380
(719) 275-2351
(719) 269-9386
Mailing address
3225 INDEPENDENCE RD, CANON CITY, CO 81212-9380
(719) 275-2351
(719) 269-9386
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1306
CO
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
1668-00
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04200093
—
CO
Enumeration date
03/13/2007
Last updated
05/08/2024
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