Healthcare Provider Details

I. General information

NPI: 1962531707
Provider Name (Legal Business Name): SINGLE POINT SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 BARNES AVE
LA JUNTA CO
81050-1329
US

IV. Provider business mailing address

302 BARNES AVE
LA JUNTA CO
81050-1329
US

V. Phone/Fax

Practice location:
  • Phone: 719-384-8503
  • Fax: 719-384-8411
Mailing address:
  • Phone: 719-384-8503
  • Fax: 719-384-8411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number1545-01
License Number StateCO

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. JOSEPH CARRICA III
Title or Position: PRESIDENT
Credential: CAC II, BS
Phone: 719-384-8503