| NPI | 1144114463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENE CONTRERAS VP, Accounting And Finance 719-572-6197 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-06-03 |
| Last Update Date | 2025-06-03 |