| NPI | 1548004252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE KNOWLES Director Of Programs 720-501-8852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2024-06-26 |