| NPI | 1043379498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN K UNDERWOOD Psychologist 719-338-7228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness (Licence: CO 1820) |
| Additional Taxonomies | 273Y00000X Rehabilitation Unit (Licence: CO 1820) |
| 314000000X Skilled Nursing Facility (Licence: CO 1820) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2015-02-09 |