| NPI | 1144594458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LYNN DOLAN President 719-278-9536 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 991699) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2012-03-05 |