NPI | 1285918870 |
---|---|
Entity Type | Organization |
Authorized Contact | BECKIE M. GRGCIH Sole Proprietor 719-315-0951 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 3041) |
Enumeration Date | 2011-09-30 |
Last Update Date | 2011-09-30 |