| NPI | 1174072672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KADY WILLIAMS Psychiatric Mental Health Np 719-568-8218 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CO 00991676-NP) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: CO 0991676-NP) |
| Enumeration Date | 2016-09-25 |
| Last Update Date | 2016-09-25 |