| NPI | 1407873342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE TURNWALL CFO 303-693-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CO 45243) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2017-08-09 |