| NPI | 1114695665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN JAMES BAUER Founder/Executive Director 720-255-5458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2021-08-31 |