NPI | 1871347443 |
---|---|
Doing Business As | BEHAVIORAL HEALTH AT INSIDE OUT YOUTH SERVICES |
Entity Type | Organization |
Authorized Contact | RYAN SPILLANE Chief Financial Office 719-344-7135 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2024-04-11 |
Last Update Date | 2024-04-11 |