| NPI | 1518229434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY LAMARR BRENT Mental Health Tech 303-617-9298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2012-06-15 |