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
835 E 2ND AVE STE 200, DURANGO, CO 81301-5474
(970) 259-1672
(970) 259-0947
Mailing address
835 E 2ND AVE STE 200, DURANGO, CO 81301-5474
(970) 259-1672
(970) 259-0947
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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