| NPI | 1528447513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA LYNN PASKIND Owner/Operator 720-394-1628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO CSW00991504) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-05-22 |