| NPI | 1699655373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT JAY MOSHER-RAMIREZ Executive Director 719-407-4876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| Enumeration Date | 2025-09-04 |
| Last Update Date | 2025-09-04 |