| NPI | 1750115473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL OKODO Operations Director 720-317-5688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-08-27 |
| Last Update Date | 2024-08-27 |