NPI | 1912460056 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL COVELLI Operating Officer 719-651-7584 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2019-04-06 |
Last Update Date | 2022-03-14 |