Organization
SIERRA PEAKS BEHAVIORAL SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ANNE DIZENZO LCSW (MEMBER/BEHAVIOR THERAPIST)
(505) 860-9592
Entity
Organization
Contact information
Practice address
361 S CAMINO DEL RIO # 238, DURANGO, CO 81303-7997
(505) 860-9592
(970) 382-9301
Mailing address
361 S CAMINO DEL RIO # 238, DURANGO, CO 81303-7997
(505) 860-9592
(970) 382-9301
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-07467
NM
251S00000X
Community/Behavioral Health Agency
1769
CO
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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