| NPI | 1568160372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CODY GARDNER COO 303-502-7117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2023-11-14 |