| NPI | 1518742311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE ALEJANDRO CASTRO Director/Lead Clinician 303-667-3154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2023-08-29 |