| NPI | 1235724717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID EISNER Executive Director 303-780-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2021-03-05 |