| NPI | 1104064732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHI SUE VIGIL Treatment Coordinator 303-506-6459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 3440) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-02-04 |