| NPI | 1659100964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN O'LEARY Owner 719-649-2357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2024-07-26 |