NPI | 1235850405 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDON GOLDER Partner/CEO 719-717-7113 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
261QM0855X Clinic/Center Adolescent and Children Mental Health | |
Enumeration Date | 2022-09-07 |
Last Update Date | 2022-09-07 |