NPI | 1275172967 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN S MORGENTHALER Executive Director 719-564-5070 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2019-12-30 |
Last Update Date | 2019-12-30 |