NPI | 1043096464 |
---|---|
Other Name | NEW VISTAS CSU |
Entity Type | Organization |
Authorized Contact | DAVID GOFF Chief Financial Officer 303-432-5164 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-09-01 |
Last Update Date | 2024-06-19 |