NPI | 1144706268 |
---|---|
Entity Type | Organization |
Authorized Contact | REBECCA LYNN AXTON Managing Member 719-284-0319 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO LPCC.0015936) |
Enumeration Date | 2018-07-11 |
Last Update Date | 2019-06-11 |