| NPI | 1669068078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA HETSCHEL Executive Director 303-834-0370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-12-19 |
| Last Update Date | 2020-12-19 |