| NPI | 1548520166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA N MARTIN Clinical Director 303-895-5527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 1674-00) |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2012-05-17 |