| NPI | 1679317358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREONNA LA'RIE MAHANA Chief Operating Officer 720-965-2944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2024-06-19 |