| NPI | 1770428526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORDAN MORRIS Owner 719-930-0229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2026-04-20 |
| Last Update Date | 2026-06-25 |