| NPI | 1730813643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAYDEN GHARIBYAR Owner 720-382-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2022-07-29 |