NPI | 1336838127 |
---|---|
Entity Type | Organization |
Authorized Contact | MARILYN VYZOUREK President 719-291-3406 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2023-05-05 |
Last Update Date | 2023-05-05 |