| NPI | 1154561025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ANTHONY SCOLA Provider 719-649-4644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2022-10-06 |