| NPI | 1053561019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART DANIEL DIMSON Owner 303-469-0353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 1333) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2008-09-26 |