Organization
SOUTHEAST COLORADO FOR DRUG-FREE COMMUNITIES, INC.
Active
Other names
DRUG-FREE COMMUNITIES
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LILLIAN M. NORMAN CAC III (DIRECTOR)
(719) 336-2600
Entity
Organization
Contact information
Practice address
1006 S MAIN ST, LAMAR, CO 81052-3814
(719) 336-2600
(719) 336-3669
Mailing address
PO BOX 1417, LAMAR, CO 81052-1417
(719) 336-2600
(719) 336-3669
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1239-00
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1239-00
PROVIDERS LICENSE
CO
Enumeration date
05/14/2007
Last updated
08/22/2020
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