| NPI | 1043449614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHELLE G. MOORE Director 303-704-0535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KS TLPC2090) |
| Enumeration Date | 2009-07-04 |
| Last Update Date | 2009-07-04 |