| NPI | 1609551043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELLO LA ROCCA Executive Director 720-372-1490 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2023-06-21 |