| NPI | 1770203648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKILLA SAEED Owner 719-210-3439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2026-08-05 |