| NPI | 1124464086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARI ANN MATTHEWS Hud/Vash Case Manager 719-327-5670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QV0200X Clinic/Center, VA (Licence: CO CSW09923223) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2013-05-20 |