| NPI | 1063702421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEHANIE MARTZ Director Of Administrative Services 303-441-1142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CO 1003-03) |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: CO 1001) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2011-04-19 |