| NPI | 1326325887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA GOODFRIEND COOPER Owner 303-269-1191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 575) |
| Enumeration Date | 2011-11-12 |
| Last Update Date | 2011-11-12 |