| NPI | 1235697616 |
|---|---|
| Doing Business As | OPIOID TREATMENT PROGRAM |
| 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 | 2019-03-05 |
| Last Update Date | 2020-12-22 |