SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER NPI 1407472749

NPI Information

NPI: 1407472749
Provider Name: SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER

Doing Business As: SAN LUIS VALLEY BEHAVIORAL HEALTH GROUP

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
322 WALNUT STREET
LA JARA, CO
ZIP 81140
Phone: (719) 589-3671
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SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER is a mental health (including community mental health center) clinic center in La Jara, CO. SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER NPI is 1407472749. The provider is registered as an organization entity type.
The provider Is Doing Business As San Luis Valley Behavioral Health Group.

The provider's business location address is:

322 WALNUT STREET
LA JARA, CO
ZIP 81140
Phone: (719) 589-3671

The provider's authorized official is Victoria Romero .
The authorized official title is Ceo and has the following contact phone number (719) 589-3671.

The CLIA number assigned to this NPI record is 06D0518574 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/23/2020 and was last updated on 1/16/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
2	261Q00000X	Clinic/Center		No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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