| NPI | 1407032964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY RUVINS Member 720-407-2909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 47103531) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |