Organization
SPANISH PEAKS NEW ALTERNATIVES, INC.
Active
Parent organization
SPANISH PEAKS NEW ALTERNATIVES, INC.
Other names
Perry Hall PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPANISH PEAKS NEW ALTERNATIVES, INC.
Authorized official
JENNIFER RUDNIK MPM (CREDENTIALING MANAGER)
(719) 423-1341
Entity
Organization
Contact information
Practice address
1591 TAOS RD, PUEBLO, CO 81006-1232
(719) 545-2746
Mailing address
41 MONTEBELLO RD STE 204, PUEBLO, CO 81001-1379
(719) 545-2746
(719) 545-4100
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
05/29/2024
Last updated
08/14/2024
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