| NPI | 1497611453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN COLE Clinical Director 719-755-1822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2026-01-02 |
| Last Update Date | 2026-01-02 |