NPI | 1265022677 |
---|---|
Entity Type | Organization |
Authorized Contact | SHYANNE CHING CFO 719-569-5517 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2021-01-20 |
Last Update Date | 2023-11-05 |