NPI | 1144679374 |
---|---|
Entity Type | Organization |
Authorized Contact | RUSSELL KUTZMAN CFO 303-667-3098 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 1-13-12858) |
Enumeration Date | 2016-06-08 |
Last Update Date | 2021-01-29 |