| NPI | 1487461497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICKY LYNN THOMPSON Co Director 720-591-9440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2024-12-12 |