NPI | 1871181586 |
---|---|
Entity Type | Organization |
Authorized Contact | DALE CARL FREDRICKSON CEO 303-323-4722 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-01-07 |
Last Update Date | 2021-01-07 |