| NPI | 1669832382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA CHARARA Administrator 303-855-4774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CO 179200) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2021-01-29 |