| NPI | 1376079095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANNE SUTHERLAND Director 720-324-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 1707-01) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-02 |