| NPI | 1700263183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN PAUL GOLDBERG Owner 303-912-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: CO 21715) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |