| NPI | 1922493584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN BEYER President 719-659-9346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CO 989109) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2015-03-31 |