| NPI | 1316481138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM VINCENT President 719-445-9330 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |