| NPI | 1841048725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE KNOWLES Executive Director 719-425-9417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-05-07 |
| Last Update Date | 2024-05-07 |