| NPI | 1568053841 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KAREN S MORGENTHALER Executive Director 719-374-1650  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | 
| Enumeration Date | 2021-01-29 | 
| Last Update Date | 2021-01-29 |