NPI | 1942356217 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN HOUGH President 719-448-9466 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2007-01-26 |
Last Update Date | 2020-08-22 |