| NPI | 1154544211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER TAPSELL SIMON President 303-831-9344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 986034) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2021-11-30 |