| NPI | 1275029902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON JARRETT BURNS CEO 719-528-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CO 1760-01) |
| Additional Taxonomies | 251S00000X (Licence: CO 1760-01) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2024-06-13 |