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 |