NPI | 1053604140 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA COURI SCHNIEDWIND Member/Agent 719-229-9739 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 333-2) |
Enumeration Date | 2011-05-23 |
Last Update Date | 2011-05-23 |