| NPI | 1407695117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYSHELL SCHRADER Billing Manager 303-853-3500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-05-22 |