| NPI | 1245518968 |
|---|---|
| Other Name | WCMHC-ADAD |
| Entity Type | Organization |
| Authorized Contact | MANDY JO KAISNER Chief Executive Officer 719-275-2351 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2024-05-08 |