| NPI | 1376940528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN GAIPA Director 720-283-3883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: CO 1094-21) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2014-12-02 |