Individual provider · Type 1 NPI

Jacqueline Francine Medina, CAC II

Community/Behavioral Health Agency · Alamosa, CO

NPI number 1912297300 Active

Practice location

2265 Lava Ln
Alamosa, CO 81101-3578

Call (719) 589-5176 Map

Mailing address

1301 Ross Ave
Alamosa, CO 81101-3541

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X7185 (CO)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

18 other providers at this address

About NPI 1912297300

Jacqueline Francine Medina, CAC II's National Provider Identifier is 1912297300, issued on Apr 19, 2011. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Alamosa, CO. The record was last updated on Apr 19, 2011.