Organization
MTX CARE COLORADO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE WALL (MANAGING DIRECTOR)
(970) 315-2324
Entity
Organization
Contact information
Practice address
3030 S COLLEGE AVE UNIT 210, FORT COLLINS, CO 80525-2557
(970) 315-2324
Mailing address
225 N MILL ST STE 210, ASPEN, CO 81611-1546
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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