Organization
SOUTHEAST MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL A ARAGON (CREDENTIALING SPECIALIST)
(719) 383-5408
Entity
Organization
Contact information
Practice address
910 W 3RD ST, LA JUNTA, CO 81050-1315
(719) 384-5446
Mailing address
711 BARNES AVE, LA JUNTA, CO 81050-2138
(719) 383-5446
(719) 384-5672
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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