| NPI | 1255201869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITA M JOHNSON Executive Director/Clinician 719-452-0393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2025-11-08 |
| Last Update Date | 2025-11-08 |