| NPI | 1962531707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH CARRICA President 719-384-8503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 1545-01) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |