NPI | 1194073775 |
---|---|
Doing Business As | HEALTH SOLUTIONS CRESTONE CLINIC SUD |
Entity Type | Organization |
Authorized Contact | DOROTHY PERRY CEO 719-545-2746 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2012-08-29 |
Last Update Date | 2020-12-21 |