| NPI | 1871891218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA ROMERO CEO 719-589-3671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X Community/Behavioral Health (Licence: CO 15K557) | |
| 251S00000X Community/Behavioral Health (Licence: CO 1056-00) | |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2023-01-16 |