NPI | 1801297478 |
---|---|
Entity Type | Organization |
Authorized Contact | TERESA A KOPPIN Owner 719-251-5222 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 0011162) |
Enumeration Date | 2014-09-15 |
Last Update Date | 2014-09-15 |