| NPI | 1629358494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN DAVIS Mgr 720-920-9750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CO 1709-01) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2012-02-15 |