| NPI | 1538692025 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MARIO JEROME FLOWERS Counselor 720-585-1604 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CO nlc.0104495) | 
| Enumeration Date | 2017-04-11 | 
| Last Update Date | 2017-04-11 |