| NPI | 1730535592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNAH L HEMENWAY Owner 720-432-9151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO CSW9923142) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-05-11 |