Organization
SPANISH CLINIC
Active
Parent organization
SPANISH CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPANISH CLINIC
Authorized official
ALFONSO CASTILLO (DIRECTOR)
(303) 934-3040
Entity
Organization
Contact information
Practice address
12445 E 39TH AVE, DENVER, CO 80239-3462
(720) 335-6651
Mailing address
4200 MORRISON RD UNIT 8, DENVER, CO 80219-2490
(720) 225-7157
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14987040
—
CO
Enumeration date
09/28/2020
Last updated
09/28/2020
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