| NPI | 1124470950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES WEBER President 719-540-2100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CO 0053911) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2016-07-05 |