| NPI | 1083617344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ANDREW DOLAN Executive Director 303-722-5746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: CO 1072-02) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: CO 1072-02) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2020-11-05 |