| NPI | 1134581580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALLEN PACKARD Owner Director 303-651-2554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 1751-01) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2016-03-24 |