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 |