| NPI | 1245695022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAITLIN KOZICKI Member 303-957-6504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: CO 5209) |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2015-12-22 |