NPI | 1689447716 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN DAVID MATTICE CEO 719-789-5307 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-10-31 |
Last Update Date | 2023-11-15 |