| Diversus Health Inc | |
|
115 S Parkside Dr Colorado Springs CO 80910-3130 | |
| (719) 572-6100 | |
| Not Available |
| Full Name | Diversus Health Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 115 S Parkside Dr, Colorado Springs, Colorado |
| Authorized Official Name and Position | Gene Contreras (VP, ACCOUNTING & FINANCE) |
| Authorized Official Contact | 7195726197 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diversus Health Inc 220 Ruskin Dr Colorado Springs CO 80910-2522 Ph: () - | Diversus Health Inc 115 S Parkside Dr Colorado Springs CO 80910-3130 Ph: (719) 572-6100 |
| NPI Number | 1104281872 |
|---|---|
| Provider Enumeration Date | 12/23/2015 |
| Last Update Date | 01/09/2024 |
| Certification Date | 01/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104281872 | NPI | - | NPPES |
| 48078506 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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