| NPI | 1366850760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY MAPLES Operation Manager 719-640-5445 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 64231) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2014-07-29 |