| Southeast Colorado For Drug-free Communities, Inc. | |
|
1006 S Main St Lamar CO 81052-3814 | |
| (719) 336-2600 | |
| (719) 336-3669 |
| Full Name | Southeast Colorado For Drug-free Communities, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1006 S Main St, Lamar, Colorado |
| Authorized Official Name and Position | Lillian M. Norman (DIRECTOR) |
| Authorized Official Contact | 7193362600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Colorado For Drug-free Communities, Inc. Po Box 1417 Lamar CO 81052-1417 Ph: (719) 336-2600 | Southeast Colorado For Drug-free Communities, Inc. 1006 S Main St Lamar CO 81052-3814 Ph: (719) 336-2600 |
| NPI Number | 1316152101 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316152101 | NPI | - | NPPES |
| 1239-00 | Other | CO | PROVIDERS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1239-00 (Colorado) | Primary |
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