NPI | 1245626787 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON POLK Therapist 720-272-9573 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: CO CSW.09923905) |
Additional Taxonomies | 251S00000X (Licence: CO ACD.0000426) |
Enumeration Date | 2015-04-10 |
Last Update Date | 2015-04-10 |