| NPI | 1528331279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBY WHITESIDE Billing Agent 719-749-0256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: CO 34757) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-04-19 |