Healthcare Provider Details

I. General information

NPI: 1417888280
Provider Name (Legal Business Name): WESTERN SLOPE CENTER FOR CHILDREN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 G RD
GRAND JUNCTION CO
81505-2303
US

IV. Provider business mailing address

2350 G RD
GRAND JUNCTION CO
81505-2303
US

V. Phone/Fax

Practice location:
  • Phone: 970-245-3788
  • Fax:
Mailing address:
  • Phone: 970-245-3788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: SCOTT BARKS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 970-245-3788