| NPI | 1689428138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUSTAFA MOHAMED ALI Co CEO 720-850-2055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2024-04-12 |