| NPI | 1306215645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY SHANDY Director/Owner 719-597-0822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 0002140) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |