NPI | 1265565824 |
---|---|
Entity Type | Organization |
Authorized Contact | MANDY JO KAISNER CEO 719-275-2351 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 1306) |
Additional Taxonomies | 261QM0801X (Licence: CO 1668-00) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2024-05-08 |