| NPI | 1447692876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS LEE TAYLOR Director 719-391-5093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CO 1628285) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2013-07-26 |