Provider Demographics
NPI:1831779651
Name:REGION SIX ALCOHOL & DRUG ABUSE INC.
Entity type:Organization
Organization Name:REGION SIX ALCOHOL & DRUG ABUSE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-456-2600
Mailing Address - Street 1:PO BOX 162
Mailing Address - Street 2:
Mailing Address - City:LAS ANIMAS
Mailing Address - State:CO
Mailing Address - Zip Code:81054-0162
Mailing Address - Country:US
Mailing Address - Phone:719-456-2600
Mailing Address - Fax:719-456-2606
Practice Address - Street 1:109 LEE AVE STE 16-3
Practice Address - Street 2:
Practice Address - City:LAMAR
Practice Address - State:CO
Practice Address - Zip Code:81052-3740
Practice Address - Country:US
Practice Address - Phone:719-456-2600
Practice Address - Fax:719-456-2606
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REGION SIX ALCOHOL & DRUG ABUSE INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-14
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)