| NPI | 1801287586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREANNE NEWCOMB Owner/Cbrs 720-409-6902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CO 103770) |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2015-02-17 |