| NPI | 1740667211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN WOLFSOHN Owner 720-220-2933 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 13548) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |