| NPI | 1104265982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK S. GRIMM President 720-841-1742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 985017) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2013-06-14 |