| NPI | 1851681555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER C HODGE Clinical Director 303-806-0933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: CO 1352-01) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2025-04-24 |