| NPI | 1053723635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESS JOSLIN Manager, Credentialing 303-731-8164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 133V00000X Dietitian, Registered | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 208D00000X General Practice | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 133N00000X Nutritionist | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2025-07-21 |