| NPI | 1477905891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN MUZYCHENKO Manager 303-421-2914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: CO 20101564719) |
| Enumeration Date | 2016-07-09 |
| Last Update Date | 2016-07-09 |