| NPI | 1255952552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS HERNANDEZ CEO 720-608-7423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2022-03-15 |