| NPI | 1699481952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J. JOHNSON Executive Director 303-798-2196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2023-01-30 |