| NPI | 1013186519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCHEILA M DENNIN Director Of Clinical Services 719-447-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-02-28 |