| NPI | 1407649338 |
|---|---|
| Other Name | SUPPORTIVE HOUSING PROVIDER |
| Entity Type | Organization |
| Authorized Contact | JASON CHIPPEAUX President/CEO 719-572-6179 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2025-05-23 |