| NPI | 1528814654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON FISHER VP Of Revenue Cycle 720-707-6360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-04-29 |