NPI | 1639427255 |
---|---|
Doing Business As | HEALTH SOLUTIONS CRESTONE CLINIC |
Entity Type | Organization |
Authorized Contact | JASON CHIPPEAUX President/CEO 719-545-2746 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2012-08-29 |
Last Update Date | 2022-06-01 |