| NPI | 1518671486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELLO LA ROCCA Director 720-372-1490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2023-01-05 |