| NPI | 1932591914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTI J. DIFFEE Therapist 719-433-9636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO NLC 0013225) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-02-26 |