| NPI | 1679314967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON J BURNS Executive Director 719-648-1997 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-06-13 |