| NPI | 1053150482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALENA NICOLE RODRIGUEZ D Irector 720-780-3035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 1041C0700X Social Worker, Clinical | |
| 171M00000X Case Manager/Care Coordinator | |
| 175T00000X Peer Specialist | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2024-05-24 |
| Last Update Date | 2024-11-01 |