| NPI | 1144628850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA PARTRICK Owner 719-660-9021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CO 897) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2019-10-03 |