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Southeast Mental Health Services

Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Lamar, CO

NPI 1053909192 · NPPES record last updated Apr 1, 2021

Key facts

NPI
1053909192
Entity type
Organization (NPI type 2)
Primary specialty
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Legal business name
SOUTHEAST MENTAL HEALTH SERVICES
Practice address
122 N. Main St.
Lamar, CO 81052
Phone
(719) 384-5446
NPI assigned
Jan 5, 2021
Organization subpart
No

Authorized official

Name
Carol A Aragon
Title
Credentialing Specialist
Phone
(719) 383-5408

Corporate family (same tax ID) 22

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Southeast Mental Health Services (23 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Yes

Addresses

Primary practice location

122 N. Main St.
Lamar, CO 81052

Mailing address

711 Barnes Ave
La Junta, CO 81050-2138
Phone (719) 384-5446

Other providers in Lamar, CO

All providers in Lamar, CO · Substance Use Disorder Rehabilitation Clinic/Center in Colorado

Sources for this page

Verify at the official NPI Registry.