| NPI | 1154627503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A GOFF Chief Financial Officer 303-432-5164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 150413) |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2020-12-04 |