| NPI | 1578661963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA R JOHNSTON-BURNHAM Member 303-862-6967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CO 992365) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |