| NPI | 1396092672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE CRISPY CEO 720-666-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: CO 50505) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2012-09-18 |