| NPI | 1194601526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAH COFFEE Clinic Administrator 303-578-6336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2025-08-12 |
| Last Update Date | 2025-08-12 |