Provider Demographics
NPI:1699533067
Name:MENTAL HEALTH OF THE ROCKIES
Entity type:Organization
Organization Name:MENTAL HEALTH OF THE ROCKIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:ENRIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:CALOCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-713-0970
Mailing Address - Street 1:2921 W 38TH AVE STE 212
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-2019
Mailing Address - Country:US
Mailing Address - Phone:720-713-0970
Mailing Address - Fax:
Practice Address - Street 1:2301 BLAKE ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-2101
Practice Address - Country:US
Practice Address - Phone:720-713-0970
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health