| NPI | 1265935167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY EGAN Substance Abuse Counselor 303-629-5293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CO ACC.0020893) |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2018-06-16 |