| NPI | 1134475825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAIL SCHREIBER Mental Health Technician 719-440-2936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-08-08 |