| NPI | 1396342283 |
|---|---|
| Doing Business As | CRESTONE RESIDENTIAL TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | DOROTHY PERRY CEO 719-545-2746 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2021-01-27 |