| NPI | 1558114165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL AHLES Executive Director 720-259-8865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-04-11 |