| NPI | 1730039884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIHRET TEKLEAB ELOS Owner 720-933-9892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2026-01-29 |
| Last Update Date | 2026-01-29 |