| NPI | 1245635861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA KIMAK Clincian 720-446-6104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 09923374) |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |