| Organization Name: | MIDWESTERN COLORADO MENTAL HEALTH CENTER INC. |
| NPI Number: | 1063412716 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS R MRAULE (CHIEF FINANCIAL OFFICER/ DEPUTY DIR) |
| Mailing Address: | 605 E Miami St Montrose |
| State: | CO US |
| Postal Code: | 814014108 |
| Phone Number: | 9702499694 |
| Fax Number: | 9702492955 |
| NPI Enumeration Date: | 07/22/2005 |
| NPI Last Update Date: | 10/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |