| NPI | 1326727504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALLEN GOFF Chief Financial Officer 303-432-5164 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2023-07-14 |