Organization
STEL, LLC
Active
Other names
A New Path
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT EDWARD MOCKLEY II (CIO/OWNER)
(970) 366-0494
Entity
Organization
Contact information
Practice address
520 S 3RD ST, STE 12, CARBONDALE, CO 81623-2059
(855) 925-5267
Mailing address
989 S MAIN ST STE A, #455, COTTONWOOD, AZ 86326-4602
(855) 925-5267
(855) 920-8038
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
1825-00
CO
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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