| NPI | 1861225385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY MAE SEEMANN Chief Operations Officer 719-659-6344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2025-03-21 |