| NPI | 1114254521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN GAYLE CRITES Director 719-377-1138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO LPC0011293) |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2014-11-06 |