NPI | 1215932884 |
---|---|
Doing Business As | DECADE2CONNECT |
Entity Type | Organization |
Authorized Contact | MARK RYAN HENNINGER Chief Executive Officer 303-600-3702 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2005-06-20 |
Last Update Date | 2024-03-04 |