| NPI | 1750613915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONNA LEE HENKEL Therapeutic Case Worker 303-436-5706 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: CO 276400000X) |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-02-12 |