| NPI | 1083045900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY JAMES VAN EPS Owner 303-747-5457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO NLC.0103533) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |