NPI | 1528566205 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMMY LYNN POPE Psychotherapist 303-947-8505 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: CO NLC.0104894) |
Additional Taxonomies | 251B00000X Case Management |
261Q00000X Clinic/Center | |
261QM1300X Clinic/Center Multi-Specialty | |
261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2018-01-26 |
Last Update Date | 2021-10-19 |