| NPI | 1063994044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY GAYLE MCKENZIE Owner/Recovery Manager 719-553-7929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-09-05 |