| NPI | 1598890238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH CARRICA Executive Director 719-384-5446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CO 1587-01) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CO 1587-02) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CO 1587-03) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CO 1587-04) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CO 1587-05) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CO 1587-06) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |