| NPI | 1386132017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE SIDEBOTTOM Owner 303-903-1124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CO 6381) |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2018-04-27 |