| NPI | 1104686864 |
|---|---|
| Doing Business As | DIVERSUS HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | GENE CONTRERAS VP Accounting And Finance 719-572-6197 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-03-20 |