| NPI | 1386469328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE NILSEN Billing Supervisor 720-587-9062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-11-15 |
| Last Update Date | 2024-11-15 |