| NPI | 1770247702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON LOBATO CEO 303-928-1051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2022-11-06 |