| NPI | 1154158996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE TURNWALL Chief Financial Officer 719-589-3671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2024-09-16 |