| NPI | 1508738675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS HERNANDEZ Owner 303-263-8445 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-09-19 |
| Last Update Date | 2025-09-19 |