| NPI | 1639778392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE MICHELLE KEELING Director Of Operations 303-231-0090 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |