| NPI | 1871246512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI D SMITH Managing Director 303-995-7585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2022-02-02 |