| NPI | 1528765864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN MOTE CEO 719-475-7518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 405300000X Prevention Professional |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2023-02-07 |