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Southeast Mental Health Services

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

NPI 1720683030 · NPPES record last updated Dec 3, 2020

Key facts

NPI
1720683030
Entity type
Organization (NPI type 2)
Primary specialty
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Legal business name
SOUTHEAST MENTAL HEALTH SERVICES
Practice address
14833 S Rittgers St
Eads, CO 81036-9514
Phone
(719) 384-5446
NPI assigned
Dec 3, 2020
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
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Yes

Addresses

Primary practice location

14833 S Rittgers St
Eads, CO 81036-9514

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
04160099MedicaidCO

Other providers in Eads, CO

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

Sources for this page

Verify at the official NPI Registry.