| NPI | 1548445190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY JANNETTA EMERSON Manager 303-306-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: DE 251S00000X) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-01-02 |