| NPI | 1639607633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIA E FELLERS Yoga Instructor And Life Coach 720-418-9492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QP2400X Clinic/Center Prison Health | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2018-06-16 |