| NPI | 1205002433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH DEMEL PONTIFLET Excutive Director 303-865-3485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO ADAD #162901) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2014-07-24 |