NPI | 1730772393 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY M PADRON Officer 719-755-3075 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-02-15 |
Last Update Date | 2021-02-15 |