Organization
AIM OUTPATIENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLIE M TORRES AVILA (ADMINISTRATOR)
(719) 924-9850
Entity
Organization
Contact information
Practice address
3960 IVYWOOD LN, PUEBLO, CO 81005-2567
(719) 924-9850
(719) 565-2313
Mailing address
3960 IVYWOOD LN, PUEBLO, CO 81005-2567
(719) 924-9850
(719) 565-2313
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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