| NPI | 1487215331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE HODGE Admin Director/Owner 720-508-4876 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2019-06-21 |