| NPI | 1699172247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN M JAMES Director 719-346-7642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: CO 1851363865) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2021-07-27 |