NPI | 1720220916 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID A GOFF Chief Financial Officer 303-432-5164 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CO 150413) |
Enumeration Date | 2009-04-02 |
Last Update Date | 2021-09-21 |