| NPI | 1669398335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELLETTA HIXON Owner/Director 719-922-6691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2026-06-26 |
| Last Update Date | 2026-06-26 |