| NPI | 1366049744 |
|---|---|
| Doing Business As | ADULT OUTPATIENT PROGRAM |
| Entity Type | Organization |
| Authorized Contact | JASON CHIPPEAUX President/CEO 719-545-2746 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2022-06-01 |