NPI | 1639701873 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREA V PACHECO Owner 719-686-3029 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-02-05 |
Last Update Date | 2020-02-05 |