| NPI | 1134842065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MILLER CFO 303-598-0616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2023-05-03 |