| NPI | 1326605742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY CHARLES PLACZEK Clinical Director 719-232-8556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2024-02-16 |