| NPI | 1598044547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN GRAVES President 719-641-3827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: CO 1609500) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-08-09 |