| NPI | 1376924878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS EDWARDS Director/Owner 719-761-6048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 0012244) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2015-06-11 |