| NPI | 1346901519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS HERNANDEZ CEO/Owner 720-608-7423 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2022-03-07 |