| NPI | 1083854780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GOWINS Executive Director 719-593-7754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 3608) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-02-20 |