Organization
INSPIRATION FIELD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA SALO (CHIEF FINANCIAL OFFICER)
(719) 384-8741
Entity
Organization
Contact information
Practice address
612 ADAMS AVE, LA JUNTA, CO 81050-2535
(719) 384-8741
(719) 384-4278
Mailing address
612 ADAMS AVE, LA JUNTA, CO 81050-2535
(719) 384-8741
(719) 384-4278
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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