San Juan Youth Works
Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Monte Vista, CO
NPI 1376717009 · NPPES record last updated Apr 14, 2008
Key facts
- NPI
- 1376717009
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
- License
- 1501942 (CO)
- Legal business name
- SAN JUAN YOUTH WORKS
- Practice address
- 260 Adams St
Monte Vista, CO 81144-1424 - Phone
- (719) 852-4799
- Fax
- (719) 852-5369
- NPI assigned
- Apr 14, 2008
- Organization subpart
- No
Authorized official
- Name
- Michael Truitt
- Title
- Director
- Phone
- (719) 852-4799
National Provider Directory
Locations
260 Adams St
Monte Vista, CO 81144
Phone (702) 292-0634
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | 1501942 | CO | Yes |
Addresses
Primary practice location
260 Adams St
Monte Vista, CO 81144-1424
Mailing address
260 Adams St
PO Box 466
Monte Vista, CO 81144-1424
Phone (719) 852-4799
Other providers in Monte Vista, CO
- Brian Mark Roberts
- Rock Creek Rehabilitation and Healthcare Center LLC
- Rock Creek Rehabilitation and Healthcare Center LLC
- Andrew Russell
- Bryan J. Salazar
- San Luis Valley Community Mental Health Center
- San Luis Valley Community Mental Health Center
- San Luis Valley Community Mental Health Center
- San Luis Valley Community Mental Health Center, Inc.
- Carly Jo Santi Lozoya
All providers in Monte Vista, CO · Emotionally Disturbed Childrens' Residential Treatment Facility in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.