| NPI | 1740364793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LEE BLAIR Co Director 303-456-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2025-02-25 |