| NPI | 1407293574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCO RAY CORDOVA Addictions Counselor Iii 720-620-7714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CO 1733-01) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2016-04-20 |