Forensic Under 21

LBN: Colorado Mental Health Institute Pueblo
Forensic Under 21 is an health care organization with primary practice located at 1600 W 24Th St , Pueblo CO 81003-1411. The organization recently has 2 registered licenses in different health care specialties including Hospital Units / Psychiatric Unit, Suppliers / Long Term Care Pharmacy. Hospital Units / Psychiatric Unit is the primary health care specialty. Colorado Mental Health Institute Pueblo can be contacted via phone (719) 546-4000, or through Trapp, Victoria via phone (720) 701-2169.

Contact Information

Primary practice address
1600 W 24Th St Pueblo CO 81003-1411
Fax: (719) 546-4484
Website:
Authorized official contact:
Name: Trapp, Victoria PSYD

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Psychiatric Unit 273R00000X 0295 Colorado
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1235261637
LBN Legal business name Colorado Mental Health Institute Pueblo
DBA Doing business as Forensic Under 21
Authorized official Trapp, Victoria PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2007
Last updated Jun 15th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235261637 NPPES
Colorado MEDICAID 88977048
Colorado MEDICAID 03211885

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