| NPI | 1003498270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLON MARTELL SANGO Director 720-668-6482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2025-06-28 |