| NPI | 1720526700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUMIL JIMENEZ Owner 303-757-4410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 1646-00) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |