| NPI | 1104298348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE VAGHEDI President 303-368-8702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 1799-00) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: CO 1799-01) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2017-04-06 |