| NPI | 1598409468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOPE MANNING Pa C 720-241-2489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2023-03-08 |