| 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 |