| NPI | 1306599816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA SHVEDOV Managing Director 720-989-0025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2023-08-21 |