| NPI | 1528312279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE GRACE Credentialing Specialist 303-617-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2020-12-17 |