| NPI | 1093268377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE RENEE SIMMONS Owner 303-898-6994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 2992) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2016-08-03 |