Provider Demographics
NPI:1922847607
Name:LAS ANIMAS COUNTY DEPARTMENT OF SOCIAL SERVICES
Entity type:Organization
Organization Name:LAS ANIMAS COUNTY DEPARTMENT OF SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:GILBERT
Authorized Official - Last Name:ARAGON
Authorized Official - Suffix:
Authorized Official - Credentials:ABD, MS
Authorized Official - Phone:719-941-7016
Mailing Address - Street 1:219 S CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:TRINIDAD
Mailing Address - State:CO
Mailing Address - Zip Code:81082-3000
Mailing Address - Country:US
Mailing Address - Phone:719-846-2276
Mailing Address - Fax:719-846-4269
Practice Address - Street 1:135 E MAIN ST STE 8
Practice Address - Street 2:
Practice Address - City:TRINIDAD
Practice Address - State:CO
Practice Address - Zip Code:81082-2763
Practice Address - Country:US
Practice Address - Phone:719-422-7079
Practice Address - Fax:719-846-4269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health