| NPI | 1144608142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG VIKING GROSS Director Of Consultation Services 303-875-5869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 15L20280) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-11 |