| NPI | 1366642092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS L WACK President 303-421-1896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CO 1083) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-07-20 |