| NPI | 1770137010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDAN MOOREHEAD Director 303-883-5767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-11-25 |