| NPI | 1669761755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT CAPRANELLI Executive Director 719-544-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 1623-01) |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2011-03-30 |