NPI | 1437790201 |
---|---|
Entity Type | Organization |
Authorized Contact | CARLA D'AGOSTINO-VIGIL Owner/Provider 303-578-6336 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2019-10-03 |
Last Update Date | 2024-01-29 |