Organization
LA COCINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA GOMEZ (MANAGER)
(970) 818-8914
Entity
Organization
Contact information
Practice address
409 MASON CT UNIT 123, FORT COLLINS, CO 80524-4465
(970) 232-0740
Mailing address
409 MASON CT UNIT 123, FORT COLLINS, CO 80524-4465
(970) 232-0740
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/21/2019
Last updated
03/13/2026
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