| NPI | 1477390433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN J JOHNSTON CFO 303-926-0625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2024-12-17 |