| NPI | 1952295818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENE CONTRERAS VP, Accounting & Finance 719-572-6197 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-06-05 |
| Last Update Date | 2025-06-05 |