NPI | 1346911864 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANIE STONE Clinical Director And Owner 720-827-3075 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
Enumeration Date | 2021-09-23 |
Last Update Date | 2021-10-14 |