| NPI | 1639870082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACQUEL ELISE GARCIA CEO 719-660-2831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2024-02-04 |