| NPI | 1346892460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENNIE W BUTLER Owner 720-621-5944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2023-11-27 |