Organization
SOUTHWEST CENTER FOR INDEPENDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA MASON (EXECUTIVE DIRECTOR)
(970) 259-1672
Entity
Organization
Contact information
Practice address
3473 MAIN AVE STE 23, DURANGO, CO 81301-4040
(970) 259-1672
(970) 259-0947
Mailing address
3473 MAIN AVE STE 23, DURANGO, CO 81301-4040
(970) 259-1672
(970) 259-0947
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
04/29/2020
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