| NPI | 1639974959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESS JOSLIN Credentialing Manager 303-731-8164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2025-02-19 |
| Last Update Date | 2025-02-19 |