| NPI | 1073876843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUMIL JIMENEZ Owner 303-926-4188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 1646-00) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-06-18 |