| NPI | 1518453273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK MCKENZIE Director 720-372-1475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2020-07-08 |