| NPI | 1962346684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN ROSSMANITH Ops Manager/Owner 719-659-8946 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2026-04-15 |
| Last Update Date | 2026-05-06 |