| NPI | 1972456820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY POWERS Biller 719-799-0608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2026-02-19 |
| Last Update Date | 2026-05-06 |