Organization
WEST CENTRAL MENTAL HEALTH CENTER, INC
Active
Other names
Solvista Health
Organization subpart
No
Provider details
NPI number
Authorized official
MANDY JO KAISNER LPC (CHIEF EXECUTIVE OFFICER)
(719) 275-2351
Entity
Organization
Contact information
Practice address
3225 INDEPENDENCE RD, CANON CITY, CO 81212-9380
(719) 275-2351
(719) 269-9386
Mailing address
3225 INDEPENDENCE RD, CANON CITY, CO 81212-9380
(719) 275-2351
(719) 269-9386
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1668-00
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04200093
—
CO
Enumeration date
04/30/2015
Last updated
05/08/2024
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