NPI | 1033483276 |
---|---|
Entity Type | Organization |
Authorized Contact | BEVERLY GARDNER Counselor 719-660-5281 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 1820) |
Enumeration Date | 2012-03-06 |
Last Update Date | 2012-03-06 |