| NPI | 1861875262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN L KELLER Owner 720-202-6020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CO LPCC0013683) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2015-07-02 |