| NPI | 1326217167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSECA MCDONALD Placement Interventionist 303-441-1535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 10) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |