| NPI | 1104974385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE ADRIENNE PACKARD CEO 303-443-3920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 1350-00) |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2020-08-22 |