| NPI | 1508618455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FANNIE SHARIEE JOHNSON Owner 720-829-4471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-04-03 |