| NPI | 1649830316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW COLLINS MCNEIL Clinical Director 303-808-4617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2019-06-16 |
| Last Update Date | 2019-06-16 |