| NPI | 1639765993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYSHELL SCHRADER Billing Manager 303-412-6091 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2020-12-21 |