| NPI | 1578088209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN LEE STEFFEY Executive Director 720-630-6771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CO 1843-00) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 1843-00) |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: CO 1843-00) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: CO 1843-00) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2022-07-21 |