| NPI | 1518798206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRAH JEAN COLLAR Owner/Pmhnp 719-300-9369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2024-08-13 |