| NPI | 1679543920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC J WEST President 719-325-5240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CO 96480) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CO 04261) |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CO 40322) | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2020-08-22 |