Organization
SLV FAMILY & ADDICTIONS COUNSELING, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA FITZGERALD MA, CAC III (OWNER)
(719) 589-2974
Entity
Organization
Contact information
Practice address
716 MAIN ST, #205, ALAMOSA, CO 81101-2540
(719) 589-2974
(719) 589-2974
Mailing address
10 RIVER DR, ALAMOSA, CO 81101-2045
(719) 589-2974
(719) 589-2974
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
AA86
CO
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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