| NPI | 1619849627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY SCHRADER Credentialing Contractor 303-885-5075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-09-19 |
| Last Update Date | 2025-09-19 |