NPI | 1003672619 |
---|---|
Entity Type | Organization |
Authorized Contact | PRADEEP RAI Director 303-209-5115 |
Organization Subpart ? | No |
Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2024-02-22 |
Last Update Date | 2024-02-22 |