| NPI | 1720804941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD ROWE CEO 719-229-8879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2024-12-03 |