| NPI | 1902351349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN LAWRENCE PRINTZ Sole Mbr 719-492-7966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 0001881) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-08-15 |