| NPI | 1093118226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL KOHLENBERG Clinical Director 720-775-7077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO LPC.0012136) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2014-10-02 |