| NPI | 1548496086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH A MILLER Executive Director 719-541-4912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2009-06-10 |