| La Raza Services, Inc. | |
|
805 W 4th St Pueblo CO 81003-2305 | |
| (719) 359-4240 | |
| Not Available |
| Full Name | La Raza Services, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 805 W 4th St, Pueblo, Colorado |
| Authorized Official Name and Position | Ricky Lynn Thompson (CO-DIRECTOR) |
| Authorized Official Contact | 7205919440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Raza Services, Inc. 3131 W 14th Ave Denver CO 80204-2203 Ph: (303) 458-5851 | La Raza Services, Inc. 805 W 4th St Pueblo CO 81003-2305 Ph: (719) 359-4240 |
| NPI Number | 1679380687 |
|---|---|
| Provider Enumeration Date | 12/12/2024 |
| Last Update Date | 12/12/2024 |
| Certification Date | 12/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679380687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Dr Jill D Pollock Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1115 N Grand Ave, Suite 100, Pueblo, CO 81003 Phone: 719-562-4414 Fax: 719-562-4415 | |
Steel City Forensic & Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 803 W 4th St Ste F, Pueblo, CO 81003 Phone: 719-545-3814 Fax: 719-924-8610 | |
Hope Thru Hooves Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25550 Hillside Rd, Pueblo, CO 81006 Phone: 719-251-7277 | |
Hope Haven Therapy Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2515 Pitman Pl, Pueblo, CO 81004 Phone: 888-948-6789 Fax: 877-345-3501 |