| NPI | 1902290521 |
|---|---|
| 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 |
| 261Q00000X Clinic/Center (Licence: CO 15K557) | |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2023-01-16 |