| NPI | 1033693171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA MCCONNELL Office Manager 720-583-9332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2023-07-26 |