| NPI | 1063066579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE SCHLAGEL Owner 720-204-4875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2019-08-01 |