| NPI | 1619640893 |
|---|---|
| Other Name | CRTS 3.5 |
| Entity Type | Organization |
| Authorized Contact | JENNIFER RUDNIK Credentialing Manager 719-423-1341 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2021-07-26 |