Whalio Doctors

NPI 1003271776

Diversus Health INC

Organisation Mental Health Clinic/Center (Including Community Mental Health Center) Bailey, CO

Practice location

Address
460 County Road 43 # a STE 7, Bailey, CO 80421-2503
Phone
(719) 572-6100
Mailing address
220 Ruskin Dr, Colorado Springs, CO 80910-2522

Authorised official

Name
Gene Contreras
Title
Vp Accounting & Finance
Phone
(719) 572-6197

Registered specialties (2)

Mental Health Clinic/Center (Including Community Mental Health Center) Primary
Ambulatory Health Care Facilities Taxonomy 261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Ambulatory Health Care Facilities Taxonomy 261QM0801X Licence 15C450 (CO)

Registry record

NPI
1003271776
Entity type
Organization
NPI issued
23 Dec 2015
Record last updated
9 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.