| NPI | 1043769862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRADEEP RAJ RAI Medical Director 303-209-5115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: CO 06D2121590) |
| 208600000X Surgery | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 103T00000X Psychologist | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2018-07-09 |