| NPI | 1245787928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY BRADY STINSON Owner 720-404-8440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CO NLC0106564) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2016-09-09 |