| NPI | 1053918623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON CHIPPEAUX President/CEO 719-545-2746 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2022-06-02 |