County of Costilla
County of Costilla is a Case Management Agency in San Luis, Colorado. Registered with an NPI since 2007.
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
233 Main St Ste CSan Luis, CO 81152
Phone: (719) 672-3332
Fax: (719) 672-3856
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Public Health or Welfare Agency (primary) | Taxonomy 251K00000X |
|---|---|
| Case Management Agency | Taxonomy 251B00000X |
Record details
| NPI number | 1972725455 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Vivian Gallegos — Director · (719) 672-3332 |
| Other names | Costilla County Public Health Agency |
| NPI enumerated | May 3, 2007 |
| Last updated in NPPES | September 5, 2012 |
| Mailing address | 233 Main Street, Suite C, San Luis, CO 81152 |