| NPI | 1093220063 |
|---|---|
| Doing Business As | BAMIDBAR WILDERNESS THERAPY |
| Entity Type | Organization |
| Authorized Contact | JORDANA HANSELMAN Director 720-930-4390 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-12 |