| NPI | 1407141260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOLORES J WALKER CEO, Dir. Clinical Services 719-382-5778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CO 160701) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2011-06-09 |