| NPI | 1689996092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY D FELLERS President 303-947-4071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 20081337835) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2010-02-26 |