| NPI | 1922434182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMAD KARAKI Support Services Director 719-520-6424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CO 1658-00) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-23 |