| NPI | 1487430799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON LUCERO VP Operations 303-859-9322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2023-09-01 |