| NPI | 1538085360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ANTHONY CASADOS Owner 719-320-9072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-06-25 |
| Last Update Date | 2026-06-26 |