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General NPI Number Information
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NPI Number | 1912732223
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Entity Type | Organization
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Legal Business Name | COLORADO WEST REGIONAL MENTAL HEALTH, INC.
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Dates
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Enumeration Date | 09/05/2024
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 515 28 3/4 ROAD BDLG F
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-5016
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Country | US
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Telephone | 970-245-4213
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Fax | 970-243-8631
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Provider Business Mailing Address
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Address Line | PO BOX 3807
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City | GRAND JUNCTION
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State | CO
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Zip | 81502-3807
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Country | US
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Telephone | 970-241-6023
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Fax | 970-243-8631
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Authorized Official
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Title or Position | CEO
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Name | JASON CHIPPEAUX
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Credential |
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Telephone | 719-545-2746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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