| NPI | 1629220702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESS JOSLIN Manager, Credentialing 303-731-8164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 133N00000X Nutritionist | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 133V00000X Dietitian, Registered | |
| 207Q00000X Family Medicine | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261Q00000X Clinic/Center | |
| 208D00000X General Practice | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2025-10-01 |