| NPI | 1245998327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD RUVINS Program Director 720-934-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2022-12-06 |