San Juan Youth Works in Monte Vista - Residential Treatment Facility, Emotionally Disturbed Children
San Juan Youth Works - NPI 1376717009
San Juan Youth Works is a Residential Treatment Facility, Emotionally Disturbed Children in Monte Vista, Colorado. San Juan Youth Works practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for San Juan Youth Works is 1376717009. The last update date is 2008-04-14.
San Juan Youth Works's current location address is 260 Adams St, Monte Vista, Colorado. You can contact this provider via phone number 7198524799 and fax number 7198525369. The mailing address for San Juan Youth Works is 260 Adams St, Monte Vista, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | San Juan Youth Works |
|---|---|
| Address | 260 Adams St, Monte Vista, Colorado |
| Phone Number | 7198524799 |
| Fax Number | 7198525369 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Truitt Michael |
| Telephone Number | 7198524799 |
NPI Number Detail
| NPI Number | 1376717009 |
|---|---|
| Provider Enumeration Date | 2008-04-14 |
| Last Updated Date | 2008-04-14 |
Provider Mailing Address Detail
| Address | 260 Adams St |
|---|---|
| City | Monte Vista |
| State | Colorado (CO) |
| Post Code | 811441424 |
| Phone Number | 7198524799 |
| Fax Number | 7198525369 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | 1501942 |
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Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to San Juan Youth Works by the Centers for Medicare & Medicaid Services?
The San Juan Youth Works has been issued the NPI (National Provider Identifier) 1376717009 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of San Juan Youth Works?
The San Juan Youth Works is physically situated at 260 Adams St, in the city of Monte Vista, state of CO, with the postal code 811441424.
What is San Juan Youth Works's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for San Juan Youth Works is Residential Treatment Facility, Emotionally Disturbed Children, and the taxonomy code that categorizes this field of expertise is 322D00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1376717009 to San Juan Youth Works?
The Centers for Medicare & Medicaid Services originally issued the 1376717009 to San Juan Youth Works on 2008-04-14.
When was the San Juan Youth Works's information last updated?
The San Juan Youth Works's information was last updated on 2008-04-14.