| NPI | 1346600277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MIDGLEY Clinical Director 720-989-4987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CO ACD.0000346) |
| Additional Taxonomies | 251S00000X (Licence: CO LPC.0012761) |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-03-04 |