| NPI | 1164067765 |
|---|---|
| Doing Business As | FAMILY SUPPORT CENTER |
| Entity Type | Organization |
| Authorized Contact | SHERIE TERRANOVA Operations Director 719-540-2152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-11-07 |