| NPI | 1366830499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESS JOSLIN Credentialing Supervisor 303-731-8164 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2024-04-30 |