| NPI | 1104222033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA K KNAUB Owner 303-274-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: CO 155203) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2023-03-09 |