NPI | 1336463488 |
---|---|
Entity Type | Organization |
Authorized Contact | SANDRA FITZGERALD Owner 719-589-2974 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CO AA86) |
Enumeration Date | 2010-03-18 |
Last Update Date | 2010-03-18 |