| William T Beverly | |
|
149 E Main St Trinidad CO 81082-2749 | |
| (719) 671-7793 | |
| Not Available |
| Full Name | William T Beverly |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 149 E Main St, Trinidad, Colorado |
| Authorized Official Name and Position | William Beverly (OWNER) |
| Authorized Official Contact | 7196717793 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William T Beverly Po Box 871 Walsenburg CO 81089-0871 Ph: (719) 671-7793 | William T Beverly 149 E Main St Trinidad CO 81082-2749 Ph: (719) 671-7793 |
| NPI Number | 1811767825 |
|---|---|
| Provider Enumeration Date | 01/02/2024 |
| Last Update Date | 01/02/2024 |
| Certification Date | 01/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811767825 | NPI | - | NPPES |
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