Colorado Veterans Health and Wellness Agency

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

0053911 Issued in CO

Legal business name

COLORADO VETERANS HEALTH AND WELLNESS AGENCY

Practice address

1330 Quail Lake Loop
Suite 260
Colorado Springs, CO 80906-4651

Phone

(719) 540-2100

NPI assigned

Jul 5, 2016

Organization subpart

Yes

Parent organization

FAMILY CARE CENTER, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Charles Weber, D.O.

Title

President

Phone

(719) 540-2100

Specialties & licenses 1

Addresses

Part of

Family Care Center LLC

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1124470950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 QUAIL LAKE LOOP",
            "address_2": "SUITE 260",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064651",
            "telephone_number": "719-540-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 QUAIL LAKE LOOP",
            "address_2": "SUITE 260",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064651",
            "telephone_number": "719-540-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO VETERANS HEALTH AND WELLNESS AGENCY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY CARE CENTER, LLC",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-540-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CO",
            "license": "0053911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.