| NPI | 1588195093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND CLARK Executive Director 720-500-4042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-03-26 |
| Last Update Date | 2018-11-05 |