Organization
HEALTH SOLUTIONS AT MOUNT SAN RAFAEL HOSPITAL CLINIC
Active
Parent organization
HEALTH SOLUTIONS
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTH SOLUTIONS
Authorized official
JASON CHIPPEAUX (PRESIDENT/CEO)
(719) 545-2746
Entity
Organization
Contact information
Practice address
410 BENEDICTA AVE, TRINIDAD, CO 81082-2005
(719) 545-2746
Mailing address
41 MONTEBELLO RD STE 204, PUEBLO, CO 81001-1379
(719) 545-2746
(719) 545-4100
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
06/02/2022
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