| NPI | 1235553215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERI GOTTLIEB Credentialing Manager 303-716-8013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CO 46585) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2014-02-11 |