| NPI | 1376717009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TRUITT Director 719-852-4799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CO 1501942) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |