| NPI | 1477307916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESS JOSLIN Credentialing Manager 303-731-8164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2025-04-09 |