| NPI | 1649544479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORA WATSON Addiction Counselor Manager 303-436-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CO 7154) |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-02-24 |