| NPI | 1588177620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALENA ETHALENA, ARNETTA MANAOIS CEO 719-232-7981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2017-11-12 |
| Last Update Date | 2017-11-12 |