NPI | 1295446771 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON TRUONG Owner 720-207-4646 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-12-06 |
Last Update Date | 2024-05-03 |