| NPI | 1336035419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA M VONDERHARR Owner 719-632-3510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-06-17 |