| NPI | 1477803906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEOLA PETERSON President 719-339-8010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO CO106) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-09-12 |