| NPI | 1932953445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT MOSHER-RAMIREZ Executive Director 719-445-0621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2024-10-08 |