| NPI | 1588433437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RISIKAT SANUSI Provider/ Consultant 303-725-6096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2023-12-20 |