| NPI | 1699198317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS W. POWELL Counselor 720-984-8562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM 0163521) |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2014-01-31 |