| NPI | 1003633652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORDAN MORRIS Owner 719-930-0229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2026-04-20 |