NPI | 1013402387 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA K ELLEGARD Executive Director 719-447-8983 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2018-06-28 |
Last Update Date | 2018-06-28 |