| 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 |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2022-06-01 |