| NPI | 1376226878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS HERNANDEZ Executive Director 720-608-7423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2023-08-10 |