NPI | 1043636392 |
---|---|
Entity Type | Organization |
Authorized Contact | SHALEE HORSTMAN President/Owner 720-420-0276 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 12704) |
Enumeration Date | 2014-03-11 |
Last Update Date | 2014-03-11 |