| NPI | 1417191586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGNACIO GARCIA/BAROS Social Work 719-553-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QV0200X Clinic/Center, VA (Licence: CO 985013) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |