| NPI | 1295269561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENE CONTRERAS VP, Accounting & Finance 719-572-6197 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2024-01-09 |