NPI | 1912598640 |
---|---|
Entity Type | Organization |
Authorized Contact | CYNTHIA JANE RINGLING Chief Clinical Officer 719-632-9900 |
Organization Subpart ? | Yes |
Primary Taxonomy | 311Z00000X Custodial Care Facility |
Enumeration Date | 2021-01-26 |
Last Update Date | 2021-02-03 |